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General NPI Number Information
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NPI Number | 1033162979
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Entity Type | Organization
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Legal Business Name | UNIVERISTY PHYSICIAN ASSOCIATES
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Dates
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Enumeration Date | 05/19/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 550 S JACKSON ST 2ND FLOOR
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City | LOUISVILLE
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State | KY
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Zip | 40202-1622
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Country | US
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Telephone | 502-562-6511
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Fax | 502-562-6512
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Provider Business Mailing Address
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Address Line | 501 E BROADWAY 120
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City | LOUISVILLE
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State | KY
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Zip | 40202-1785
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Country | US
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Telephone | 502-562-6810
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Fax | 502-562-6777
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | BELINDA S LOVE
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Credential |
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Telephone | 502-562-5765
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 2086S0122X
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Taxonomy Name | Plastic and Reconstructive Surgery Physician
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2086X0206X
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Taxonomy Name | Surgical Oncology Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 208C00000X
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Taxonomy Name | Colon & Rectal Surgery Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2086S0102X
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Taxonomy Name | Surgical Critical Care Physician
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 2086S0129X
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Taxonomy Name | Vascular Surgery Physician
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License Number |
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License Number State |
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