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General NPI Number Information
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NPI Number | 1730376955
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Entity Type | Organization
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Legal Business Name | MONROE UROLOGY ASSOCIATES PLLC
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Dates
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Enumeration Date | 10/02/2007
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Last Update Date | 01/03/2012
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Provider Practice Location Address
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Address Line | 905 N MACOMB ST SUITE #5
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City | MONROE
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State | MI
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Zip | 48162-3075
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Country | US
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Telephone | 734-243-9620
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Fax | 734-243-3565
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Provider Business Mailing Address
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Address Line | PO BOX 2165
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City | MONROE
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State | MI
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Zip | 48161-7165
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Country | US
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Telephone | 734-243-9620
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Fax | 734-243-3565
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Authorized Official
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Title or Position | OWNER
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Name | DR. RAMACHANDRAN S NAIR
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Credential | MD
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Telephone | 734-243-9620
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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 |
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License Number State |
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