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General NPI Number Information
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NPI Number | 1699921411
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Entity Type | Organization
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Legal Business Name | GEORGE E. URBAN, JR MD PA
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Dates
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Enumeration Date | 08/12/2008
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Last Update Date | 06/08/2011
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Provider Practice Location Address
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Address Line | 9131 PISCATAWAY RD SUITE 410
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City | CLINTON
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State | MD
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Zip | 20735-2508
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Country | US
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Telephone | 301-868-1234
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Fax | 301-868-2751
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Provider Business Mailing Address
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Address Line | 9131 PISCATAWAY RD SUITE 410
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City | CLINTON
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State | MD
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Zip | 20735-2508
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Country | US
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Telephone | 301-868-1234
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Fax | 301-868-2751
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Authorized Official
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Title or Position | OWNER
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Name | DR. GEORGE EDWARD URBAN JR.
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Credential | MD
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Telephone | 301-868-1234
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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