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General NPI Number Information
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NPI Number | 1528746971
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Entity Type | Organization
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Legal Business Name | UROSTAT HEALTHCARE, INC.
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Dates
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Enumeration Date | 07/06/2023
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 7567 BARNETT WAY
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City | POWELL
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State | TN
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Zip | 37849-3565
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Country | US
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Telephone | 865-938-3887
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Fax | 866-421-0487
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Provider Business Mailing Address
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Address Line | 1132 SATELLITE BLVD, STE 100
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City | SUWANEE
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State | GA
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Zip | 30024-4441
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Country | US
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Telephone | 678-541-5566
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Fax | 678-878-3050
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Authorized Official
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Title or Position | PRESIDENT
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Name | CRAIG SAMUEL STEVENS
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Credential |
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Telephone | 678-541-5566
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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