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General NPI Number Information
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NPI Number | 1992756845
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Entity Type | Organization
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Legal Business Name | UNIVERSITY PSYCHIATRIC ASSOCIATES P.A.
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Dates
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Enumeration Date | 05/15/2006
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Last Update Date | 12/30/2014
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Provider Practice Location Address
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Address Line | 8320 UNIVERSITY EXEC PARK DR SUITE 104
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City | CHARLOTTE
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State | NC
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Zip | 28262-1338
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Country | US
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Telephone | 704-549-8797
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Fax | 704-549-1479
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Provider Business Mailing Address
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Address Line | 8320 UNIVERSITY EXEC PARK DR SUITE 104
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City | CHARLOTTE
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State | NC
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Zip | 28262-1338
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Country | US
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Telephone | 704-549-8797
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Fax | 704-549-1479
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Authorized Official
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Title or Position | PRESIDENT OWNER
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Name | VINCENT ALAN LOMBARDI
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Credential | MD
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Telephone | 704-549-8797
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | 32394
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License Number State | NC
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