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General NPI Number Information
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NPI Number | 1881809614
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Entity Type | Organization
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Legal Business Name | COLUMBIA UROLOGICAL ASSOCIATES, P.A.
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 03/06/2008
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Provider Practice Location Address
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Address Line | 1407 HATCHER LN
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City | COLUMBIA
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State | TN
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Zip | 38401-3535
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Country | US
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Telephone | 931-381-2110
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Fax | 931-381-5178
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Provider Business Mailing Address
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Address Line | 1407 HATCHER LN
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City | COLUMBIA
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State | TN
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Zip | 38401-3535
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Country | US
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Telephone | 931-381-2110
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Fax | 931-381-5178
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | DEBBIE MCNEAL
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Credential |
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Telephone | 931-381-2110
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number |
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License Number State |
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