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General NPI Number Information
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NPI Number | 1841106390
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Entity Type | Organization
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Legal Business Name | STREAMLINE UROLOGY SOLUTIONS LLC
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Dates
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Enumeration Date | 08/24/2026
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Last Update Date | 08/24/2026
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Provider Practice Location Address
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Address Line | 97 THOMAS JOHNSON DR STE 102
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City | FREDERICK
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State | MD
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Zip | 21702-4379
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Country | US
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Telephone | 301-606-0551
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Fax |
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Provider Business Mailing Address
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Address Line | 6119 FIELDCREST DR
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City | FREDERICK
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State | MD
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Zip | 21701-5809
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/UROLOGIST
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Name | DR. FERNANDINO VILSON
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Credential | MD, MBA
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Telephone | 443-684-4185
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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