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General NPI Number Information
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NPI Number | 1871514091
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Entity Type | Organization
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Legal Business Name | UROLOGICAL CARE INC
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Dates
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Enumeration Date | 07/22/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1485 CHESTER BLVD
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City | RICHMOND
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State | IN
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Zip | 47374-1919
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Country | US
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Telephone | 765-962-8551
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Fax | 765-966-8089
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Provider Business Mailing Address
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Address Line | 1485 CHESTER BLVD
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City | RICHMOND
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State | IN
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Zip | 47374-1919
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Country | US
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Telephone | 765-962-8551
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Fax | 765-966-8089
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. J. MICHAEL PEREZ
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Credential | M.D.
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Telephone | 765-962-8551
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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 | 50002706A
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License Number State | IN
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