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General NPI Number Information
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NPI Number | 1720315765
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Entity Type | Organization
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Legal Business Name | FPM UROGYNECOLOGY CENTER, LLC
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Dates
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Enumeration Date | 11/12/2009
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Last Update Date | 10/16/2024
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Provider Practice Location Address
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Address Line | 3050 HAMILTON BLVD SUITE 200
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City | ALLENTOWN
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State | PA
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Zip | 18103-3628
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Country | US
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Telephone | 610-435-9575
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Fax | 610-435-2763
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Provider Business Mailing Address
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Address Line | 3050 HAMILTON BLVD SUITE 200
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City | ALLENTOWN
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State | PA
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Zip | 18103-3628
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Country | US
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Telephone | 610-435-9575
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Fax | 610-435-2763
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Authorized Official
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Title or Position | REVENUE CYCLE DIRECTOR
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Name | MICHELLE JARED
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Credential |
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Telephone | 763-294-2012
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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