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NPI 1003563693

NPI 1003563693 : UNE'K THERAPEUTIC SOLUTIONS, LLC : BRIDGETON, NJ

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General NPI Number Information
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    NPI Number           |    1003563693
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNE'K THERAPEUTIC SOLUTIONS, LLC 
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Dates
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    Enumeration Date     |    03/03/2022
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    Last Update Date     |    03/03/2022
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Provider Practice Location Address
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    Address Line         |    603 FORDVILLE ROAD 
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    City                 |    BRIDGETON
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    State                |    NJ
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    Zip                  |    08302-7210
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    Country              |    US
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    Telephone            |    856-839-7618
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    603 FORDVILLE ROAD 
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    City                 |    BRIDGETON
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    State                |    NJ
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    Zip                  |    08302-7210
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    Country              |    US
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    Telephone            |    856-207-4670
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MS. TANEKA L SINGLETON 
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    Credential           |    LCSW
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    Telephone            |    856-207-4670
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    1041C0700X
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    Taxonomy Name        |    Clinical Social Worker
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    License Number       |    
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    License Number State |    
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