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General NPI Number Information
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NPI Number | 1245988401
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Entity Type | Organization
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Legal Business Name | PERFECT UNITY BEHAVIORAL HEALTH LLC
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Dates
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Enumeration Date | 03/16/2022
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Last Update Date | 03/16/2022
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Provider Practice Location Address
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Address Line | 3500 CANE RUN RD
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City | LOUISVILLE
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State | KY
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Zip | 40211-1919
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Country | US
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Telephone | 502-554-4100
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Fax | 502-632-1432
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Provider Business Mailing Address
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Address Line | 3500 CANE RUN RD
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City | LOUISVILLE
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State | KY
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Zip | 40211-1919
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Country | US
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Telephone | 502-554-4100
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Fax | 502-632-1432
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Authorized Official
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Title or Position | CREDENTIALING MANAGER
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Name | JACQUELINE SANDERS
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Credential |
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Telephone | 502-630-2036
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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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