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General NPI Number Information
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NPI Number | 1316384639
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Entity Type | Organization
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Legal Business Name | UNITED INDIAN HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 05/28/2013
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Last Update Date | 08/07/2023
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Provider Practice Location Address
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Address Line | 434 7TH ST
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City | EUREKA
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State | CA
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Zip | 95501-1803
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Country | US
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Telephone | 707-296-2500
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Fax | 707-443-3554
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Provider Business Mailing Address
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Address Line | 1600 WEEOT WAY
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City | ARCATA
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State | CA
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Zip | 95521-4734
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Country | US
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Telephone | 707-825-5000
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Fax | 707-825-6747
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Authorized Official
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Title or Position | CFO
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Name | CECIL PAUL WILSON
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Credential |
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Telephone | 707-825-4065
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152W00000X
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Taxonomy Name | Optometrist
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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 | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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