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General NPI Number Information
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NPI Number | 1164878930
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Entity Type | Organization
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Legal Business Name | UNITY ADULT CARE CENTER INC
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Dates
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Enumeration Date | 05/10/2016
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Last Update Date | 05/10/2016
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Provider Practice Location Address
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Address Line | 223 LOCUST ST
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City | CONWAY
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State | AR
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Zip | 72034-6528
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Country | US
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Telephone | 501-327-2644
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Fax | 501-327-4978
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Provider Business Mailing Address
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Address Line | 223 LOCUST ST
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City | CONWAY
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State | AR
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Zip | 72034-6528
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Country | US
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Telephone | 501-327-2644
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Fax | 501-327-4978
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. SANDRA A FULLER
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Credential |
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Telephone | 501-327-2644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 150
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License Number State | AR
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