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General NPI Number Information
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NPI Number | 1821476896
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Entity Type | Organization
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Legal Business Name | UROCARE-ALL LLC
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Dates
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Enumeration Date | 05/11/2015
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Last Update Date | 05/11/2015
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Provider Practice Location Address
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Address Line | 21150 BISCAYNE BLVD SUITE 404
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City | AVENTURA
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State | FL
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Zip | 33180-1226
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Country | US
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Telephone | 305-466-9111
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Fax | 305-466-9127
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Provider Business Mailing Address
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Address Line | 21150 BISCAYNE BLVD SUITE 404
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City | AVENTURA
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State | FL
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Zip | 33180-1226
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Country | US
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Telephone | 305-466-9111
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Fax | 305-466-9127
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Authorized Official
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Title or Position | MEMBER OF COMPANY
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Name | JUAN PREMOLI
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Credential | MD
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Telephone | 305-466-9111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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