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General NPI Number Information
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NPI Number | 1922387786
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Entity Type | Organization
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Legal Business Name | UPCAP SERVICES, INC.
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Dates
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Enumeration Date | 08/11/2011
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Last Update Date | 08/11/2011
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Provider Practice Location Address
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Address Line | 2501 14TH AVE S
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City | ESCANABA
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State | MI
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Zip | 49829-1136
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Country | US
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Telephone | 906-786-4701
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Fax | 906-786-8047
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Provider Business Mailing Address
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Address Line | 2501 14TH AVE S
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City | ESCANABA
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State | MI
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Zip | 49829-1136
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Country | US
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Telephone | 906-786-4701
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Fax | 906-786-8047
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Authorized Official
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Title or Position | ADMINISTRATIVE SERVICES MANAGER
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Name | MS. THERESA M THOMMA
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Credential |
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Telephone | 906-786-4701
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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