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General NPI Number Information
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NPI Number | 1255777090
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Entity Type | Organization
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Legal Business Name | UNIVERSAL HEALTH AID
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Dates
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Enumeration Date | 05/20/2013
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Last Update Date | 05/20/2013
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Provider Practice Location Address
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Address Line | 400 MAYNARD ST APT 202
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City | ANN ARBOR
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State | MI
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Zip | 48104-2440
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Country | US
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Telephone | 419-480-9124
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Fax |
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Provider Business Mailing Address
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Address Line | 400 MAYNARD ST APT 202
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City | ANN ARBOR
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State | MI
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Zip | 48104-2440
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT OF BOARD OF TRUSTEES
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Name | MR. GAUTHAM VYAS MOHAN KRISHNA MADHIRA
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Credential |
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Telephone | 419-480-9124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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