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General NPI Number Information
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NPI Number | 1871785204
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Entity Type | Organization
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Legal Business Name | ADVANCED UROLOGY ASSOCIATES OF WEST PASCO PA
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Dates
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Enumeration Date | 08/09/2007
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Last Update Date | 09/24/2009
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Provider Practice Location Address
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Address Line | 5305 GULF DR SUITE 4
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-3960
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Country | US
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Telephone | 727-372-7014
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Fax | 727-372-6661
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Provider Business Mailing Address
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Address Line | 5305 GULF DR SUITE 4
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City | NEW PORT RICHEY
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State | FL
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Zip | 34652-3960
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Country | US
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Telephone | 727-372-7014
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Fax | 727-372-6661
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Authorized Official
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Title or Position | PARTNER
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Name | DR. RAMON PEREZ-MARRERO
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Credential | M.D.
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Telephone | 727-372-7014
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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 | 0060921
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License Number State | FL
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