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General NPI Number Information
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NPI Number | 1881785764
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Entity Type | Organization
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Legal Business Name | UROLOGY ASSOCIATES OF THE CENTRAL COAST
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 10/23/2025
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Provider Practice Location Address
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Address Line | 225 PRADO RD SUITE D
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401-7363
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Country | US
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Telephone | 805-786-2500
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Fax | 805-781-0423
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Provider Business Mailing Address
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Address Line | 225 PRADO RD SUITE D
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City | SAN LUIS OBISPO
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State | CA
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Zip | 93401
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Country | US
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Telephone | 805-786-2500
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Fax | 805-781-0423
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Authorized Official
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Title or Position | PRESIDENT
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Name | CRAIG W CANFIELD
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Credential | MD
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Telephone | 805-541-1111
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QX0203X
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Taxonomy Name | Radiation Oncology Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 208800000X
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Taxonomy Name | Urology Physician
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License Number |
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License Number State |
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