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General NPI Number Information
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NPI Number | 1528164555
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Entity Type | Organization
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Legal Business Name | UHRIK PC
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Dates
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Enumeration Date | 09/16/2006
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Last Update Date | 04/03/2012
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Provider Practice Location Address
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Address Line | 10228 W COGGINS DR
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City | SUN CITY
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State | AZ
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Zip | 85351-3421
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Country | US
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Telephone | 623-214-8800
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Fax |
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Provider Business Mailing Address
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Address Line | PMB 108 STE B8 1022
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City | GLENDALE
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State | AZ
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Zip | 85306-4654
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Country | US
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Telephone | 602-548-2200
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Fax | 602-548-3013
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Authorized Official
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Title or Position | PRESIDENT
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Name | OTTO UHRIK
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Credential | MD
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Telephone | 623-214-8800
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208VP0000X
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Taxonomy Name | Pain Medicine Physician
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License Number | 29559
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License Number State | AZ
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