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General NPI Number Information
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NPI Number | 1821042755
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Entity Type | Organization
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Legal Business Name | UROPARTNERS, LLC
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Dates
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Enumeration Date | 05/22/2006
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Last Update Date | 06/25/2025
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Provider Practice Location Address
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Address Line | 950 N YORK RD STE 208
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City | HINSDALE
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State | IL
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Zip | 60521-8609
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Country | US
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Telephone | 630-887-0580
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Fax | 630-887-0618
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Provider Business Mailing Address
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Address Line | 950 N YORK RD STE 208
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City | HINSDALE
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State | IL
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Zip | 60521-8609
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Country | US
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Telephone | 630-887-0580
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Fax | 630-887-0618
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Authorized Official
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Title or Position | AUTHORIZED REPRESENTATIVE
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Name | RICHARD HARRIS
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Credential | MD
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Telephone | 708-450-5055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #2
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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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