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General NPI Number Information
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NPI Number | 1700941077
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Entity Type | Organization
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Legal Business Name | FIVE TOWNS UROLOGY,P.C.
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Dates
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Enumeration Date | 12/26/2006
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Last Update Date | 03/28/2008
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Provider Practice Location Address
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Address Line | 1800 ROCKAWAY AVE SUITE 212
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City | HEWLETT
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State | NY
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Zip | 11557-1677
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Country | US
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Telephone | 516-593-1838
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Fax | 516-593-3071
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Provider Business Mailing Address
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Address Line | 1800 ROCKAWAY AVE SUITE 212
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City | HEWLETT
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State | NY
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Zip | 11557-1677
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Country | US
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Telephone | 516-593-1838
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Fax | 516-593-3071
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Authorized Official
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Title or Position | PRESIDENT
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Name | ARNOLD M LEVENTHAL
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Credential | M.D.
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Telephone | 516-593-1838
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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 | 163284
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License Number State | NY
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