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General NPI Number Information
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NPI Number | 1649562414
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Entity Type | Individual
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Provider Name | MICHAEL DAVID JUREWICZ M.D.
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Gender | Male
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Dates
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Enumeration Date | 05/11/2011
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Last Update Date | 07/11/2022
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Provider Practice Location Address
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Address Line | 1611 NW 12 AVENUE
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City | MIAMI
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State | FL
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Zip | 33136
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Country | US
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Telephone | 305-575-7158
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Fax |
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Provider Business Mailing Address
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Address Line | 6864 TRAILVIEW CT
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City | WEST BLOOMFIELD
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State | MI
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Zip | 48322-4562
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Country | US
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Telephone | 248-860-0211
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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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 | 282765
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License Number State | NY
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