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General NPI Number Information
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NPI Number | 1013194356
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Entity Type | Organization
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Legal Business Name | UNITY HEALTHCARE, LLC
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Dates
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Enumeration Date | 01/29/2008
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Last Update Date | 10/18/2024
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Provider Practice Location Address
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Address Line | 1345 UNITY PL SUITE 355
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City | LAFAYETTE
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State | IN
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Zip | 47905-5760
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Country | US
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Telephone | 765-807-7988
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Fax | 765-807-7989
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Provider Business Mailing Address
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Address Line | PO BOX 4699
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City | LAFAYETTE
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State | IN
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Zip | 47903-4699
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Country | US
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Telephone | 765-449-2732
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Fax | 765-449-1196
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Authorized Official
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Title or Position | DIRECTOR OF BILLING
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Name | HEATHER DAWSON
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Credential |
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Telephone | 765-446-5417
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207L00000X
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Taxonomy Name | Anesthesiology Physician
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License Number | 01034584A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207LP2900X
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Taxonomy Name | Pain Medicine (Anesthesiology) Physician
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License Number | 01034584A
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License Number State | IN
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