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General NPI Number Information
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NPI Number | 1659498517
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Entity Type | Organization
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Legal Business Name | ANDOVER UROLOGY ASSOCIATES P.C.
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Dates
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Enumeration Date | 03/24/2007
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Last Update Date | 12/19/2024
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Provider Practice Location Address
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Address Line | 31 STILES RD STE 1400
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City | SALEM
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State | NH
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Zip | 03079-2958
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Country | US
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Telephone | 978-475-4499
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Fax | 978-749-9585
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Provider Business Mailing Address
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Address Line | 31 STILES RD STE 1400
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City | SALEM
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State | NH
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Zip | 03079-2958
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Country | US
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Telephone | 978-475-4499
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Fax | 978-749-9585
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Authorized Official
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Title or Position | PRESIDENT
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Name | STEPHEN ZAPPALA
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Credential | M.D., F.A.C.S.
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Telephone | 978-475-4499
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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 | 60267
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License Number State | MA
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