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General NPI Number Information
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NPI Number | 1205830858
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Entity Type | Organization
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Legal Business Name | UNIVERSITY PHYSICIANS & SURGEONS, INC.
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Dates
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Enumeration Date | 06/10/2005
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1600 MEDICAL CENTER DR SUITE G500
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City | HUNTINGTON
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State | WV
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Zip | 25701-3656
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Country | US
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Telephone | 304-691-1000
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Fax | 304-691-1693
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Provider Business Mailing Address
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Address Line | 1600 MEDICAL CENTER DR SUITE G500
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City | HUNTINGTON
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State | WV
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Zip | 25701-3656
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Country | US
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Telephone | 304-691-1000
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Fax | 304-691-1693
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | JAMES J SCHNEIDER
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Credential |
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Telephone | 304-691-1602
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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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 | 207R00000X
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Taxonomy Name | Internal Medicine 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 | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 363L00000X
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Taxonomy Name | Nurse Practitioner
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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License Number |
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License Number State |
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