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General NPI Number Information
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NPI Number | 1356027676
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Entity Type | Organization
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Legal Business Name | UNIVERSITY PHYSICIANS INCORPORATED
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Dates
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Enumeration Date | 06/22/2023
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Last Update Date | 06/12/2025
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Provider Practice Location Address
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Address Line | 1820 S JOLIET ST
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City | AURORA
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State | CO
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Zip | 80012-5030
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Country | US
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Telephone | 720-777-3300
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 110429
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City | AURORA
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State | CO
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Zip | 80042-0429
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Country | US
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Telephone | 303-493-7000
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Fax |
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Authorized Official
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Title or Position | ASSOCIATE COMPLIANCE OFFICER
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Name | LISA DONAHUE
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Credential |
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Telephone | 303-493-7300
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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