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General NPI Number Information
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NPI Number | 1255343661
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Entity Type | Organization
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Legal Business Name | UNITY BEHAVIORAL HEALTH, LLC
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Dates
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Enumeration Date | 08/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 153 BEAVER DAM REACH THE WOODS AT SEASIDE
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City | REHOBOTH BEACH
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State | DE
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Zip | 19971-6102
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Country | US
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Telephone | 302-227-7399
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Fax | 302-227-7398
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Provider Business Mailing Address
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Address Line | 153 BEAVER DAM REACH THE WOODS AT SEASIDE
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City | REHOBOTH BEACH
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State | DE
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Zip | 19971-6102
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Country | US
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Telephone | 302-227-7399
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Fax | 302-227-7398
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Authorized Official
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Title or Position | PRESIDENT
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Name | DR. DUANE DOYLE SHUBERT
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Credential | M. D.
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Telephone | 302-227-7399
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number | C1-0005815
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License Number State | DE
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