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General NPI Number Information
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NPI Number | 1831413772
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Entity Type | Organization
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Legal Business Name | OXFORD UROCARE PLLC
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Dates
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Enumeration Date | 03/22/2010
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Last Update Date | 03/22/2010
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Provider Practice Location Address
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Address Line | 1201 MEDICAL PARK DR STE 101
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City | OXFORD
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State | MS
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Zip | 38655-5327
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Country | US
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Telephone | 662-234-3448
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Fax | 662-234-1490
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Provider Business Mailing Address
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Address Line | PO BOX 1013
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City | OXFORD
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State | MS
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Zip | 38655-1013
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Country | US
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Telephone | 662-234-3448
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Fax | 662-234-1490
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | WANDA L SOCKWELL
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Credential |
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Telephone | 662-234-3448
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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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