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General NPI Number Information
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NPI Number | 1538503370
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Entity Type | Organization
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Legal Business Name | UNIVERSAL BIOPHARMA RESEARCH INSTITUTE INC
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Dates
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Enumeration Date | 04/23/2013
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Last Update Date | 03/25/2014
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Provider Practice Location Address
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Address Line | 1300 N FRESNO ST UNIVERSAL BIOMEDICAL RESEARCH LABORATORY
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City | FRESNO
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State | CA
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Zip | 93703-3845
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Country | US
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Telephone | 503-816-9367
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Fax | 559-498-0821
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Provider Business Mailing Address
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Address Line | 5120 E COPPER AVE
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City | CLOVIS
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State | CA
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Zip | 93619-8620
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Country | US
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Telephone | 559-288-1871
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Fax | 559-272-0373
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. KULDIP THUSU
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Credential | PH.D
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Telephone | 559-288-1871
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 05D2055575
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License Number State | CA
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