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General NPI Number Information
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NPI Number | 1235255316
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Entity Type | Organization
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Legal Business Name | UNIVERSITY PRIMARY CARE PRACTICES INC
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 02/06/2017
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Provider Practice Location Address
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Address Line | 18599 LAKE SHORE BLVD STE 500
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City | EUCLID
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State | OH
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Zip | 44119-1093
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Country | US
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Telephone | 216-383-7850
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Fax | 216-383-7988
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Provider Business Mailing Address
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Address Line | PO BOX 8792
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City | BELFAST
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State | ME
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Zip | 04915-8792
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Country | US
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Telephone | 440-974-4211
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Fax | 440-974-4273
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Authorized Official
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Title or Position | UHPS PRESIDENT
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Name | CLIFF MEGARIAN
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Credential |
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Telephone | 216-844-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084N0400X
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Taxonomy Name | Neurology Physician
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License Number |
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License Number State |
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