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General NPI Number Information
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NPI Number | 1285822403
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Entity Type | Organization
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Legal Business Name | UNIVERSAL PRACTICE PARTNERS 007 LLC
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Dates
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Enumeration Date | 10/12/2007
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Last Update Date | 06/04/2025
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Provider Practice Location Address
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Address Line | 3506 SHANNON RD
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City | CLEVELAND HEIGHTS
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State | OH
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Zip | 44118-1927
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Country | US
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Telephone | 440-365-2502
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Fax |
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Provider Business Mailing Address
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Address Line | 6200 PLEASANT AVE SUITE 3
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City | FAIRFIELD
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State | OH
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Zip | 45014-4670
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Country | US
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Telephone | 513-829-9333
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Fax | 513-858-7827
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Authorized Official
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Title or Position | OWNER/DPM
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Name | MARK I WINTERS
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Credential | DPM
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Telephone | 440-365-2502
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 213E00000X
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Taxonomy Name | Podiatrist
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License Number | 36002339
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License Number State | OH
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