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General NPI Number Information
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NPI Number | 1740508605
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Entity Type | Organization
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Legal Business Name | CENTER FOR UROLOGIC SPECIALTIES LLC
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Dates
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Enumeration Date | 05/17/2010
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Last Update Date | 06/26/2010
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Provider Practice Location Address
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Address Line | 5051 GREENSPRING AVE SUITE 302
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City | BALTIMORE
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State | MD
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Zip | 21209-4354
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Country | US
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Telephone | 410-601-1441
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Fax |
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Provider Business Mailing Address
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Address Line | 5051 GREENSPRING AVE SUITE 302
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City | BALTIMORE
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State | MD
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Zip | 21209-4354
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Country | US
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Telephone | 410-601-1441
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Fax | 410-601-1438
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ROSEMARY LAW
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Credential |
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Telephone | 410-788-7521
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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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