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General NPI Number Information
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NPI Number | 1174009385
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Entity Type | Organization
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Legal Business Name | UNIVERSAL CLINICAL CARE LLC.
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Dates
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Enumeration Date | 07/11/2018
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Last Update Date | 07/23/2023
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Provider Practice Location Address
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Address Line | 2502 VIA NICOLA APT 3424
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City | FORT WORTH
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State | TX
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Zip | 76109-5587
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Country | US
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Telephone | 714-322-9799
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Fax | 714-242-3404
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Provider Business Mailing Address
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Address Line | 2502 VIA NICOLA APT 3424
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City | FORT WORTH
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State | TX
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Zip | 76109-5587
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Country | US
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Telephone | 714-322-9799
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Fax | 714-242-3404
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Authorized Official
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Title or Position | INTERNAL MEDICINE PHYSICIAN
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Name | DR. AMAN K PATEL
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Credential | DO
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Telephone | 714-322-9799
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | Q8994
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License Number State | TX
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