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General NPI Number Information
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NPI Number | 1861654196
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Entity Type | Organization
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Legal Business Name | ANTONIO T UVAS PLLC
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Dates
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Enumeration Date | 06/27/2008
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Last Update Date | 01/13/2015
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Provider Practice Location Address
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Address Line | 14300 W. GRANITE VALLEY DR SUITE B-7 UVAS FAMILY MEDICINE
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City | SUN CITY WEST
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State | AZ
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Zip | 85375
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Country | US
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Telephone | 623-776-3047
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Fax | 623-776-3127
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Provider Business Mailing Address
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Address Line | 14300 W. GRANITE VALLEY DRIVE STE B-7 UVAS FAMILY MEDICINE
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City | SUN CITY WEST
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State | AZ
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Zip | 85375
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Country | US
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Telephone | 623-776-3047
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Fax | 623-776-3127
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Authorized Official
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Title or Position | MD
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Name | DR. ANTONIO T UVAS
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Credential | MD
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Telephone | 623-776-3047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number | 35614
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License Number State | AZ
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