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General NPI Number Information
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NPI Number | 1134543036
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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 | 02/12/2014
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Last Update Date | 02/12/2014
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Provider Practice Location Address
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Address Line | 1345 UNITY PL STE 365
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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 | 765-446-5111
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Fax | 765-446-5165
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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 | MARTHA K MILLER
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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 | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 01044990A
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License Number State | IN
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Taxonomy #2
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Taxonomy Code | 207RH0003X
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Taxonomy Name | Hematology & Oncology Physician
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License Number | 01044990A
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License Number State | IN
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Taxonomy #3
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Taxonomy Code | 207RX0202X
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Taxonomy Name | Medical Oncology Physician
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License Number | 01044990A
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License Number State | IN
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