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General NPI Number Information
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NPI Number | 1518026699
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Entity Type | Organization
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Legal Business Name | UNIVERSITY PHYSICIANS, INC.
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Dates
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Enumeration Date | 12/06/2006
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Last Update Date | 08/29/2024
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Provider Practice Location Address
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Address Line | 1635 URSULA ST BOX 6510, MS F-722
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City | AURORA
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State | CO
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Zip | 80045-7402
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Country | US
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Telephone | 720-848-2171
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Fax | 720-848-2157
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Provider Business Mailing Address
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Address Line | 1635 URSULA ST BOX 6510, MS F-722
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City | AURORA
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State | CO
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Zip | 80045-7402
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Country | US
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Telephone | 720-848-2171
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Fax | 720-848-2157
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Authorized Official
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Title or Position | DIRECTOR
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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 | 207XS0114X
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Taxonomy Name | Adult Reconstructive Orthopaedic Surgery Physician
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License Number | 15797
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License Number State | CO
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