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General NPI Number Information
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NPI Number | 1205575859
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Entity Type | Organization
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Legal Business Name | UNITY BEHAVIORAL LLC
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Dates
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Enumeration Date | 06/01/2022
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Last Update Date | 06/01/2022
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Provider Practice Location Address
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Address Line | 660 W CAMPBELL RD STE 100
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City | RICHARDSON
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State | TX
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Zip | 75080-3381
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Country | US
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Telephone | 469-940-6900
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Fax |
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Provider Business Mailing Address
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Address Line | 3620 LAKE POWELL DR
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City | ARLINGTON
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State | TX
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Zip | 76016-3530
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Country | US
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Telephone | 682-269-9889
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | SELENE Q HAMMON
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Credential |
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Telephone | 682-269-9889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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