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General NPI Number Information
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NPI Number | 1184657785
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Entity Type | Organization
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Legal Business Name | JADAC UNIQUE HEALTH SERVICES
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Dates
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Enumeration Date | 07/08/2006
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Last Update Date | 08/28/2007
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Provider Practice Location Address
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Address Line | 6630 HARWIN DR SUITE 152
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City | HOUSTON
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State | TX
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Zip | 77036-2245
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Country | US
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Telephone | 713-783-3169
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Fax | 713-783-5486
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Provider Business Mailing Address
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Address Line | 6630 HARWIN DR SUITE 152
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City | HOUSTON
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State | TX
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Zip | 77036-2245
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Country | US
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Telephone | 713-783-3169
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Fax | 713-783-5486
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Authorized Official
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Title or Position | DIRECTOR
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Name | JOY ANEKE
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Credential |
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Telephone | 713-783-3169
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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