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General NPI Number Information
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NPI Number | 1194300764
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Entity Type | Organization
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Legal Business Name | THE UNIQUE WAY LLC
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Dates
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Enumeration Date | 03/15/2021
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Last Update Date | 05/10/2021
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Provider Practice Location Address
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Address Line | 302 S COLLINS ST # 546
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City | PLANT CITY
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State | FL
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Zip | 33563-5534
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Country | US
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Telephone | 863-600-6572
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Fax |
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Provider Business Mailing Address
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Address Line | 4671 WILLIAMSTOWN BLVD
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City | LAKELAND
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State | FL
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Zip | 33810-3700
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Country | US
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Telephone | 863-605-6317
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LEROYA JONES
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Credential |
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Telephone | 863-605-6317
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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