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General NPI Number Information
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NPI Number | 1588185797
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Entity Type | Organization
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Legal Business Name | UROLOGY HEALTH CONSULTING PC
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Dates
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Enumeration Date | 06/28/2017
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Last Update Date | 03/17/2018
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Provider Practice Location Address
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Address Line | 44055 RIVERSIDE PKWY STE 244
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City | LEESBURG
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State | VA
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Zip | 20176-5176
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Country | US
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Telephone | 202-321-8162
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Fax |
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Provider Business Mailing Address
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Address Line | 408 LORRAINE AVE
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City | ESSEX
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State | MD
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Zip | 21221-6819
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | TONIE HIES
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Credential |
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Telephone | 410-971-0462
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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