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General NPI Number Information
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NPI Number | 1083454920
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Entity Type | Organization
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Legal Business Name | UNIVERSAL FIRST ASSIST ASSOCIATES
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Dates
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Enumeration Date | 05/29/2024
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Last Update Date | 07/15/2024
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Provider Practice Location Address
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Address Line | 832 BROCKWELL DR
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City | DARDENNE PRAIRIE
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State | MO
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Zip | 63368-8370
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Country | US
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Telephone | 314-368-4842
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Fax |
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Provider Business Mailing Address
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Address Line | 832 BROCKWELL DR
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City | DARDENNE PRAIRIE
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State | MO
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Zip | 63368-8370
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | RNFA
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Name | PATRICIA HOLSCHEN
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Credential |
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Telephone | 314-368-4842
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number |
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License Number State |
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