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General NPI Number Information
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NPI Number | 1295857423
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Entity Type | Organization
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Legal Business Name | UNIVERSITY PRIMARY CARE PRACTICES INC
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Dates
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Enumeration Date | 04/06/2007
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Last Update Date | 08/22/2018
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Provider Practice Location Address
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Address Line | 26908 DETROIT RD STE 200
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City | WESTLAKE
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State | OH
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Zip | 44145
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Country | US
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Telephone | 440-250-8660
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Fax | 440-250-8639
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Provider Business Mailing Address
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Address Line | PO BOX 8792
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City | BELFAST
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State | ME
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Zip | 04915-8792
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Country | US
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Telephone | 440-559-1024
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Fax | 440-559-9590
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Authorized Official
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Title or Position | PRESIDENT OF UH PHYSICIAN SERVICES
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Name | DR. CLIFF A MEGERIAN
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Credential | MD
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Telephone | 216-844-5500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 | OH
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