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General NPI Number Information
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NPI Number | 1043225907
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Entity Type | Organization
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Legal Business Name | I AM UNIQUE SPECIAL CARE & CASE MANAGEMENT, INC.
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Dates
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Enumeration Date | 07/29/2006
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Last Update Date | 11/23/2016
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Provider Practice Location Address
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Address Line | 5800 MCHINES PL STE 120
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City | RALEIGH
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State | NC
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Zip | 27616
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Country | US
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Telephone | 919-981-0790
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Fax | 919-981-0135
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Provider Business Mailing Address
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Address Line | 5800 MCHINES PL STE 120
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City | RALEIGH
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State | NC
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Zip | 27616
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Country | US
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Telephone | 919-981-0790
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Fax | 919-981-0135
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Authorized Official
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Title or Position | SECRETARY/CONTOLLER
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Name | MR. JONATHAN A CAMPBELL
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Credential | CPA
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Telephone | 919-981-0135
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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 | A258825
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License Number State | NC
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