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General NPI Number Information
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NPI Number | 1265068092
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Entity Type | Organization
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Legal Business Name | UNIVERSAL HEALTHCARE SERVICES, INC.
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Dates
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Enumeration Date | 03/12/2020
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Last Update Date | 12/11/2023
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Provider Practice Location Address
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Address Line | 2121 NILES ST STE 200
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City | BAKERSFIELD
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State | CA
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Zip | 93305-5007
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Country | US
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Telephone | 661-546-9046
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Fax | 661-546-9047
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Provider Business Mailing Address
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Address Line | 8303 BRIMHALL RD BLDG 1500
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City | BAKERSFIELD
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State | CA
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Zip | 93312-2243
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Country | US
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Telephone | 661-587-2468
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Fax | 661-587-6403
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MARTHA ISABEL GARCIA
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Credential |
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Telephone | 661-587-2468
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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