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General NPI Number Information
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NPI Number | 1932953056
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Entity Type | Organization
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Legal Business Name | UNIVERSITY PRIMARY CARE PRACTICES INC
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Dates
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Enumeration Date | 04/15/2024
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Last Update Date | 04/15/2024
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Provider Practice Location Address
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Address Line | 917 N LAKE ST STE 100
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City | AMHERST
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State | OH
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Zip | 44001-1350
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Country | US
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Telephone | 440-634-5640
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Fax | 440-634-5641
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Provider Business Mailing Address
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Address Line | PO BOX 772928
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City | DETROIT
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State | MI
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Zip | 48277-2928
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Country | US
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Telephone | 800-589-6006
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Fax |
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Authorized Official
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Title or Position | PRESIDENT, UH PHYSICIAN SERVICES
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Name | SCOTT SASSER
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Credential | MD
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Telephone | 216-844-8069
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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License Number |
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License Number State |
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