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General NPI Number Information
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NPI Number | 1043486616
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Entity Type | Organization
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Legal Business Name | UNIQUE HEALTH CARE INC
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Dates
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Enumeration Date | 05/05/2008
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Last Update Date | 05/05/2008
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Provider Practice Location Address
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Address Line | 2935 FREEMAN AVE S APT#111
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City | MPLS
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State | MN
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Zip | 55408
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Country | US
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Telephone | 763-221-7656
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Fax | 763-566-4930
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Provider Business Mailing Address
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Address Line | 7420 UNITY AVE N SUITE#310C
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City | BROOKLYN PARK
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State | MN
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Zip | 55443-3143
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Country | US
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Telephone | 763-503-5072
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Fax | 763-566-4930
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | WESLEY YAIDOO
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Credential |
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Telephone | 763-221-7656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 251J00000X
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License Number State | MN
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