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General NPI Number Information
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NPI Number | 1174328934
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Entity Type | Organization
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Legal Business Name | UNIQUE TRAVEL ACCOMMODATION & HOUSING LLC
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Dates
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Enumeration Date | 02/17/2025
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Last Update Date | 02/21/2025
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Provider Practice Location Address
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Address Line | 16104 W.WOODLANDS AVE
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City | GOODYEAR
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State | AZ
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Zip | 85338-9514
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Country | US
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Telephone | 602-800-3992
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Fax |
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Provider Business Mailing Address
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Address Line | 15411 W. WADDELL RD STE.102/ #1263
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City | SURPRISE
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State | AZ
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Zip | 85379
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Country | US
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Telephone | 602-800-3992
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Fax |
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Authorized Official
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Title or Position | RN
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Name | ROSELINE PIERRE
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Credential | ROSELINE PIERRE
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Telephone | 602-800-3992
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 276400000X
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Taxonomy Name | Substance Use Disorder Rehabilitation Hospital Unit
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License Number |
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License Number State |
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Taxonomy #4
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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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