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General NPI Number Information
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NPI Number | 1215510516
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Entity Type | Organization
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Legal Business Name | UNITE UP
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Dates
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Enumeration Date | 05/04/2021
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Last Update Date | 04/30/2024
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Provider Practice Location Address
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Address Line | 1014 COLLEGE AVE
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City | HOUGHTON
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State | MI
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Zip | 49931-1823
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Country | US
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Telephone | 906-523-7064
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Fax |
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Provider Business Mailing Address
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Address Line | 1014 COLLEGE AVE
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City | HOUGHTON
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State | MI
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Zip | 49931-1823
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Country | US
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Telephone | 906-523-7064
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Fax | 904-592-5291
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Authorized Official
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Title or Position | PRESIDENT
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Name | ANGELA PRICE
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Credential |
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Telephone | 906-523-7064
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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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 | 101YP2500X
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Taxonomy Name | Professional Counselor
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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 | 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 #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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