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General NPI Number Information
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NPI Number | 1962435669
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Entity Type | Individual
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Provider Name | URBANO A DAUZ MD
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Gender | Male
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 01/16/2017
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Provider Practice Location Address
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Address Line | 207 SOUTH PINE SUITE 6
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City | SHELBYVILLE
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State | IL
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Zip | 62565
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Country | US
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Telephone | 217-774-5508
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Fax | 217-774-2672
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Provider Business Mailing Address
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Address Line | 207 SOUTH PINE SUITE 6
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City | SHELBYVILLE
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State | IL
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Zip | 62565
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Country | US
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Telephone | 217-774-5508
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Fax | 217-774-2672
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number | 3652301
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License Number State | IL
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