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NPI 1578628665

NPI 1578628665 : UNIVERSITY MEDICAL CENTER CORPORATION : TUCSON, AZ

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General NPI Number Information
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    NPI Number           |    1578628665
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNIVERSITY MEDICAL CENTER CORPORATION 
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Dates
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    Enumeration Date     |    12/27/2006
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    Last Update Date     |    08/22/2020
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Provider Practice Location Address
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    Address Line         |    1501 N. CAMPBELL AVENUE 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85724
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    Country              |    US
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    Telephone            |    520-694-6501
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    655 E. RIVER ROAD 
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    City                 |    TUCSON
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    State                |    AZ
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    Zip                  |    85704
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    Country              |    US
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    Telephone            |    520-694-1132
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    Fax                  |    520-694-2389
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Authorized Official
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    Title or Position    |    CHIEF FINANCIAL OFFICER
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    Name                 |     KEVIN J. BURNS 
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    Credential           |    
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    Telephone            |    520-694-6501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    273R00000X
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    Taxonomy Name        |    Psychiatric Hospital Unit
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    License Number       |    H-0134
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    License Number State |    AZ
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