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General NPI Number Information
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NPI Number | 1407117625
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Entity Type | Organization
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Legal Business Name | UNIVERSAL HEALTH CORPORATION
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Dates
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Enumeration Date | 06/05/2012
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Last Update Date | 08/27/2025
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Provider Practice Location Address
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Address Line | 130 CHURCH AVE SW
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City | ROANOKE
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State | VA
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Zip | 24011-1906
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Country | US
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Telephone | 540-769-3964
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Fax | 540-473-3458
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Provider Business Mailing Address
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Address Line | PO BOX 8310
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City | ROANOKE
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State | VA
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Zip | 24014-0310
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Country | US
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Telephone | 540-345-3556
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Fax | 540-342-2193
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Authorized Official
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Title or Position | OWNER/DR
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Name | DR. ALFONSO D BROCHERO
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Credential | MD
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Telephone | 540-345-3556
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 0101245698
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License Number State | VA
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