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General NPI Number Information
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NPI Number | 1619060860
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OBGYN ASSOCIATES, PLLC
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Dates
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Enumeration Date | 10/02/2006
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Last Update Date | 03/17/2016
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Provider Practice Location Address
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Address Line | 1928 ALCOA HWY STE 303
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City | KNOXVILLE
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State | TN
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Zip | 37920-1502
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Country | US
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Telephone | 865-670-6750
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Fax | 865-305-6588
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Provider Business Mailing Address
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Address Line | PO BOX 440032
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City | NASHVILLE
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State | TN
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Zip | 37244-0032
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Country | US
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Telephone | 865-670-6750
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Fax | 865-670-6198
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Authorized Official
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Title or Position | PRESIDENT
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Name | NIRMALA B. UPADHYAYA
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Credential | MD
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Telephone | 865-305-9305
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State | TN
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