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General NPI Number Information
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NPI Number | 1447674908
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Entity Type | Organization
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Legal Business Name | UNIVERSAL INTEREST, LLC
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Dates
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Enumeration Date | 02/04/2014
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Last Update Date | 06/02/2025
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Provider Practice Location Address
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Address Line | 2700 CITIZENS PLZ STE 402
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City | VICTORIA
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State | TX
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Zip | 77901-5757
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Country | US
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Telephone | 361-582-5633
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Fax | 361-582-5632
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Provider Business Mailing Address
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Address Line | PO BOX 780896
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City | SAN ANTONIO
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State | TX
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Zip | 78278-0896
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Country | US
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Telephone | 210-773-6655
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MICHELLE GARRISON
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Credential |
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Telephone | 850-899-0441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207XS0117X
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Taxonomy Name | Orthopaedic Surgery of the Spine Physician
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License Number |
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License Number State |
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