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General NPI Number Information
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NPI Number | 1962532515
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Entity Type | Organization
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Legal Business Name | UROLOGY AND UROLOGIC SURGERY PC
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Dates
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Enumeration Date | 03/06/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1932 ALCOA HWY STE 475 BUILDING C
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City | KNOXVILLE
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State | TN
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Zip | 37920-1523
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Country | US
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Telephone | 865-544-9270
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Fax | 865-544-9860
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Provider Business Mailing Address
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Address Line | 1932 ALCOA HWY STE 475 BUILDING C
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City | KNOXVILLE
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State | TN
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Zip | 37920-1523
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Country | US
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Telephone | 865-544-9270
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Fax | 865-544-9860
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAUL ARTHUR HATCHER SR.
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Credential | MD
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Telephone | 865-544-9270
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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 | 021449
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License Number State | TN
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