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General NPI Number Information
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NPI Number | 1881960003
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Entity Type | Organization
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Legal Business Name | UROLOGY ASSOCIATES, LLC
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Dates
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Enumeration Date | 04/02/2012
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Last Update Date | 04/02/2012
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Provider Practice Location Address
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Address Line | 1008 PROFESSIONAL BLVD SUTE 6
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City | DALTON
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State | GA
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Zip | 30720-2554
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Country | US
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Telephone | 706-529-6267
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Fax | 706-529-6271
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Provider Business Mailing Address
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Address Line | PO BOX 748
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City | DALTON
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State | GA
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Zip | 30722-0748
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Country | US
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Telephone | 706-529-6267
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Fax | 706-529-6271
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Authorized Official
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Title or Position | OWNER
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Name | JAMES E. MCKINNEY
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Credential | M.D.
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Telephone | 706-529-6267
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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 | 013064
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License Number State | GA
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