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General NPI Number Information
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NPI Number | 1215512520
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Entity Type | Organization
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Legal Business Name | UNITED MEDICAL EVALUATORS
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Dates
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Enumeration Date | 03/17/2021
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Last Update Date | 03/17/2021
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Provider Practice Location Address
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Address Line | 910 PLEASANT GROVE BLVD STE 120-232
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City | ROSEVILLE
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State | CA
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Zip | 95678-6193
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Country | US
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Telephone | 877-922-0001
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Fax |
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Provider Business Mailing Address
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Address Line | 910 PLEASANT GROVE BLVD STE 120-232
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City | ROSEVILLE
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State | CA
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Zip | 95678-6193
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Country | US
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Telephone | 877-922-0001
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | JOSEPH TICHIO
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Credential |
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Telephone | 877-922-0001
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 202C00000X
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Taxonomy Name | Independent Medical Examiner Physician
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License Number |
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License Number State |
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