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General NPI Number Information
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NPI Number | 1811929326
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Entity Type | Organization
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Legal Business Name | LOVELAND UROLOGIC ASSOCIATES
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Dates
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Enumeration Date | 07/07/2006
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Last Update Date | 10/02/2007
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Provider Practice Location Address
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Address Line | 1907 BOISE AVE
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City | LOVELAND
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State | CO
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Zip | 80538
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Country | US
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Telephone | 970-669-2770
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Fax | 970-669-5729
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Provider Business Mailing Address
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Address Line | 1907 BOISE AVE
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City | LOVELAND
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State | CO
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Zip | 80538
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Country | US
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Telephone | 970-669-2770
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Fax | 970-669-5729
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. THOMAS BRUNS
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Credential | MD
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Telephone | 970-669-2770
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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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