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General NPI Number Information
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NPI Number | 1386088425
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Entity Type | Organization
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Legal Business Name | UNIVERSAL HEALTH ASSOCIATES,INC
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Dates
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Enumeration Date | 04/19/2013
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Last Update Date | 04/19/2013
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Provider Practice Location Address
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Address Line | 5975 W SUNRISE BLVD SUITE 106
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City | PLANTATION
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State | FL
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Zip | 33313-6800
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Country | US
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Telephone | 954-696-0273
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Fax |
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Provider Business Mailing Address
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Address Line | 5975 W SUNRISE BLVD SUITE 106
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City | PLANTATION
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State | FL
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Zip | 33313-6800
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Country | US
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Telephone | 954-696-0273
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Fax |
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Authorized Official
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Title or Position | PRESIDENT-CEO
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Name | MR. ADEILSON JORGE
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Credential |
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Telephone | 954-696-0273
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice 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 | 213ES0103X
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Taxonomy Name | Foot & Ankle Surgery Podiatrist
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License Number |
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License Number State |
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