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General NPI Number Information
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NPI Number | 1598082364
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Entity Type | Organization
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Legal Business Name | ALLIED UROLOGY INC
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Dates
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Enumeration Date | 05/03/2010
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Last Update Date | 08/24/2010
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Provider Practice Location Address
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Address Line | 1025 FAIR RD
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City | SIDNEY
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State | OH
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Zip | 45365-8947
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Country | US
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Telephone | 937-710-4510
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Fax | 937-710-4776
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Provider Business Mailing Address
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Address Line | PO BOX 537
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City | SIDNEY
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State | OH
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Zip | 45365-0537
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Country | US
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Telephone | 937-710-4510
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Fax | 937-710-4776
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Authorized Official
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Title or Position | OWNER
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Name | FRANCIS N OGBOLU
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Credential | DO
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Telephone | 937-710-4510
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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 | 34009725
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License Number State | OH
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