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General NPI Number Information
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NPI Number | 1871717744
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Entity Type | Organization
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Legal Business Name | UROLOGY CLINIC PA
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Dates
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Enumeration Date | 04/12/2007
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Last Update Date | 01/31/2013
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Provider Practice Location Address
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Address Line | 703 ALCORN DR SUITE 107
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City | CORINTH
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State | MS
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Zip | 38834-9302
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Country | US
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Telephone | 662-284-9888
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Fax | 662-284-9899
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Provider Business Mailing Address
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Address Line | 703 ALCORN DR SUITE 107
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City | CORINTH
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State | MS
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Zip | 38834-9302
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Country | US
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Telephone | 662-284-9888
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Fax | 662-284-9899
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Authorized Official
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Title or Position | OWNER
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Name | WILLIAM SENF II
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Credential | M.D.
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Telephone | 662-284-9888
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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 | 16367
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License Number State | MS
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