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NPI 1063776979

NPI 1063776979 : UNITY RECOVERY CENTER, INC : PORT ST LUCIE, FL

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General NPI Number Information
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    NPI Number           |    1063776979
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNITY RECOVERY CENTER, INC 
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Dates
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    Enumeration Date     |    06/26/2012
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    Last Update Date     |    08/13/2015
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Provider Practice Location Address
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    Address Line         |    208 SW PORT ST LUCIE BLVD 
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    City                 |    PORT ST LUCIE
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    State                |    FL
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    Zip                  |    34984
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    Country              |    US
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    Telephone            |    561-459-3909
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    Fax                  |    561-223-2927
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Provider Business Mailing Address
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    Address Line         |    630 US HIGHWAY 1 
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    City                 |    NORTH PALM BEACH
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    State                |    FL
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    Zip                  |    33408
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    Country              |    US
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    Telephone            |    561-459-3909
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    Fax                  |    561-584-6938
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Authorized Official
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    Title or Position    |    REVENUE CYCLE LIAISON
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    Name                 |     ALISON  SACCENTO 
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    Credential           |    
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    Telephone            |    561-459-3909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    324500000X
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    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
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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        |    324500000X
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    Taxonomy Name        |    Substance Abuse Rehabilitation Facility
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    License Number       |    1956AD388302
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    License Number State |    
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