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General NPI Number Information
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NPI Number | 1609811587
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Entity Type | Organization
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Legal Business Name | UROLOGY ASSOCIATES, LLP
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Dates
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Enumeration Date | 06/17/2006
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Last Update Date | 01/04/2010
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Provider Practice Location Address
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Address Line | 2500 STARLING ST SUITE 602
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City | BRUNSWICK
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State | GA
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Zip | 31520-4219
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Country | US
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Telephone | 912-265-1300
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Fax | 912-265-3580
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Provider Business Mailing Address
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Address Line | 2500 STARLING ST SUITE 602
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City | BRUNSWICK
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State | GA
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Zip | 31520-4219
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Country | US
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Telephone | 912-265-1300
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Fax | 912-265-3580
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Authorized Official
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Title or Position | PARTNER
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Name | DR. DAVID M KRANC
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Credential | MD
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Telephone | 912-265-1300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 030848
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License Number State | GA
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