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General NPI Number Information
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NPI Number | 1417318445
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Entity Type | Organization
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Legal Business Name | UNIVERSITY FAMILY PHYSICIANS, INC.
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Dates
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Enumeration Date | 03/18/2016
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Last Update Date | 08/11/2016
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Provider Practice Location Address
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Address Line | 1160 W MICHIGAN ST STE 100A
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5209
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Country | US
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Telephone | 317-274-2020
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Fax | 317-274-3265
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Provider Business Mailing Address
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Address Line | 1160 W MICHIGAN ST STE 200
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City | INDIANAPOLIS
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State | IN
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Zip | 46202-5209
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Country | US
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Telephone | 317-944-2020
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Fax | 317-944-2020
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Authorized Official
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Title or Position | CFO
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Name | LORI LUTHER
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Credential |
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Telephone | 317-278-3522
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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