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General NPI Number Information
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NPI Number | 1003093725
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Entity Type | Organization
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Legal Business Name | UNIVERSITY PRIMARY CARE PRACTICES INC
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Dates
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Enumeration Date | 01/24/2008
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Last Update Date | 04/12/2022
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Provider Practice Location Address
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Address Line | 8819 COMMONS BLVD # 100
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City | TWINSBURG
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State | OH
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Zip | 44087-2177
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Country | US
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Telephone | 330-425-2212
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 74499
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City | CLEVELAND
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State | OH
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Zip | 44194-0002
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Country | US
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Telephone | 216-383-6776
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Fax | 216-383-6745
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Authorized Official
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Title or Position | SUPV. PE DEPT.
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Name | JOI WILLIAMS
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Credential |
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Telephone | 440-214-8025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number |
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License Number State | OH
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