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General NPI Number Information
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NPI Number | 1275814204
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Entity Type | Organization
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Legal Business Name | UNIVERSAL BILLING GROUP
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Dates
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Enumeration Date | 09/04/2011
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Last Update Date | 08/23/2023
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Provider Practice Location Address
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Address Line | 6 SUSAN CIR
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City | CARVER
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State | MA
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Zip | 02330-1014
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Country | US
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Telephone | 404-721-5000
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Fax |
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Provider Business Mailing Address
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Address Line | 6 SUSAN CIR
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City | CARVER
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State | MA
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Zip | 02330-1014
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Country | US
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Telephone | 404-721-5000
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | KAYESHENE THOMPSON
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Credential |
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Telephone | 844-455-3500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number | 238.000139
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License Number State | IL
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Taxonomy #2
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Taxonomy Code | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number | 887
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 246ZS0410X
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Taxonomy Name | Surgical Technologist
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License Number | 2795
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 363AS0400X
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Taxonomy Name | Surgical Physician Assistant
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License Number | M560128792557
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License Number State | MD
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