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General NPI Number Information
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NPI Number | 1245508811
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Entity Type | Organization
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Legal Business Name | UNIVERSAL HEALTH GROUP, INC
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Dates
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Enumeration Date | 12/09/2011
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Last Update Date | 05/04/2012
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Provider Practice Location Address
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Address Line | 4700 EAST MCLEOD
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City | SAGINAW
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State | MI
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Zip | 48604
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Country | US
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Telephone | 248-440-7100
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Fax |
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Provider Business Mailing Address
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Address Line | 2000 TOWN CTR SUITE 625
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City | SOUTHFIELD
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State | MI
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Zip | 48075-1135
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Country | US
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Telephone | 248-440-7100
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Fax | 248-850-2205
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Authorized Official
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Title or Position | PRESIDENT
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Name | SCOTT ZACK
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Credential | DC
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Telephone | 248-440-7100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number |
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number |
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License Number State | MI
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Taxonomy #3
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State | MI
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Taxonomy #4
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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 | MI
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