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General NPI Number Information
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NPI Number | 1639760986
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Entity Type | Organization
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Legal Business Name | CENTERS FOR ADVANCED UROLOGY MSO
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Dates
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Enumeration Date | 01/29/2021
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Last Update Date | 01/29/2021
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Provider Practice Location Address
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Address Line | 2401 HIGHWAY 35
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City | MANASQUAN
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State | NJ
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Zip | 08736-1158
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Country | US
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Telephone | 732-995-0200
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Fax |
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Provider Business Mailing Address
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Address Line | 2401 HIGHWAY 35
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City | MANASQUAN
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State | NJ
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Zip | 08736-1158
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Country | US
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Telephone | 732-995-0200
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | DR. MICHAEL L HOWARD
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Credential | M.D.
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Telephone | 732-995-0200
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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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