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General NPI Number Information
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NPI Number | 1326179912
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Entity Type | Organization
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Legal Business Name | UNIVERSITY HOSPITALS MEDICAL GROUP, INC
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Dates
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Enumeration Date | 03/08/2007
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Last Update Date | 04/01/2022
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Provider Practice Location Address
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Address Line | 960 CLAGUE RD STE 2460
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City | WESTLAKE
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State | OH
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Zip | 44145-1585
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Country | US
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Telephone | 440-827-2996
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Fax | 440-932-0601
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Provider Business Mailing Address
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Address Line | PO BOX 772044
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City | DETROIT
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State | MI
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Zip | 48277-2044
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Country | US
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Telephone | 440-827-2996
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Fax |
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Authorized Official
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Title or Position | SUPERVISOR
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Name | JOI WILLIAMS
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Credential |
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Telephone | 440-214-8025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number |
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License Number State |
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