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General NPI Number Information
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NPI Number | 1285593673
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Entity Type | Organization
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Legal Business Name | UNITY PEDIATRIC NURSING LLC
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Dates
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Enumeration Date | 01/20/2026
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Last Update Date | 02/22/2026
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Provider Practice Location Address
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Address Line | 5397 SPECKLED HAWK TRL
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City | MACHESNEY PK
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State | IL
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Zip | 61115-8253
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Country | US
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Telephone | 815-298-4187
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Fax |
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Provider Business Mailing Address
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Address Line | 5397 SPECKLED HAWK TRL
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City | MACHESNEY PK
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State | IL
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Zip | 61115-8253
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Country | US
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Telephone | 815-298-4187
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CRISSY MARTINEZ
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Credential | RN
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Telephone | 815-298-4187
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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