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General NPI Number Information
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NPI Number | 1871542795
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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 | 05/08/2006
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Last Update Date | 05/18/2010
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Provider Practice Location Address
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Address Line | 655 E RIVER RD SUITE B 209
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City | TUCSON
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State | AZ
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Zip | 85704-5840
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Country | US
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Telephone | 520-694-4663
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Fax | 520-694-2560
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Provider Business Mailing Address
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Address Line | 655 E RIVER RD SUITE B 209
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City | TUCSON
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State | AZ
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Zip | 85704-5840
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Country | US
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Telephone | 520-694-4663
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Fax | 520-694-2560
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MS. MISTY HANSEN
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Credential |
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Telephone | 520-694-1125
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HHA- 0053
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License Number State | AZ
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