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General NPI Number Information
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NPI Number | 1336602218
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Entity Type | Organization
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Legal Business Name | UNIVERSITY HOSPITALS REGIONAL PRACTICES LLC
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Dates
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Enumeration Date | 04/09/2019
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Last Update Date | 08/04/2023
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Provider Practice Location Address
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Address Line | 3605 WARRENSVILLE CENTER RD
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City | SHAKER HEIGHTS
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State | OH
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Zip | 44122-5203
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Country | US
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Telephone | 216-358-1424
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Fax | 216-201-4272
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Provider Business Mailing Address
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Address Line | PO BOX 772928
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City | DETROIT
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State | MI
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Zip | 48277-2937
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Country | US
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Telephone | 800-589-6006
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Fax | 216-201-4272
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Authorized Official
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Title or Position | CMO
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Name | DR. CHRISTOPHER MILLER
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Credential | MD
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Telephone | 513-558-8090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207QG0300X
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Taxonomy Name | Geriatric Medicine (Family Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #3
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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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