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General NPI Number Information
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NPI Number | 1316336845
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Entity Type | Organization
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Legal Business Name | UNITED PHYSICIANS GROUP LLC
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Dates
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Enumeration Date | 01/21/2015
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Last Update Date | 11/12/2020
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Provider Practice Location Address
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Address Line | 20235 N CAVE CREEK RD STE 104, #622
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City | PHOENIX
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State | AZ
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Zip | 85024-4455
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Country | US
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Telephone | 602-363-1116
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Fax |
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Provider Business Mailing Address
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Address Line | 13462 W JESSE RED DR
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City | PEORIA
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State | AZ
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Zip | 85383-7904
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Country | US
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Telephone | 23-631-1166
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. JAMES D STEWART
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Credential | D.O.
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Telephone | 602-363-1116
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 005591
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License Number State | AZ
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Taxonomy #2
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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 |
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