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General NPI Number Information
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NPI Number | 1033000500
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Entity Type | Organization
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Legal Business Name | UNIFIED CARE AGENCY
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 14001 SCIOTO AVE
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City | EAST CLEVELAND
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State | OH
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Zip | 44112-3738
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Country | US
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Telephone | 216-421-4427
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Fax |
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Provider Business Mailing Address
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Address Line | 14001 SCIOTO AVE
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City | EAST CLEVELAND
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State | OH
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Zip | 44112-3738
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Country | US
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Telephone | 216-421-4427
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DWAYNE JOHNSON
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Credential |
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Telephone | 216-421-4427
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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