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General NPI Number Information
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NPI Number | 1235707910
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Entity Type | Organization
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Legal Business Name | UNITY HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 06/17/2021
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Last Update Date | 06/17/2021
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Provider Practice Location Address
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Address Line | 12630 N 103RD AVE # 211-212
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City | SUN CITY
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State | AZ
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Zip | 85351-3423
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Country | US
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Telephone | 602-598-0753
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Fax |
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Provider Business Mailing Address
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Address Line | 17425 W HOLLAND LN # SURPRISE
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City | SURPRISE
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State | AZ
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Zip | 85388-7865
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Country | US
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Telephone | 602-327-6604
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MRS. JULIA B IDEMUDIA
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Credential | FNP-C
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Telephone | 602-327-6604
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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