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General NPI Number Information
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NPI Number | 1326282211
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Entity Type | Organization
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Legal Business Name | UNITY DOCTORS CLINIC
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Dates
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Enumeration Date | 04/23/2009
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Last Update Date | 04/23/2009
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Provider Practice Location Address
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Address Line | 6621 WESTBANK EXPY
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City | MARRERO
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State | LA
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Zip | 70072-2669
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Country | US
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Telephone | 504-347-4688
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Fax | 504-361-7549
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Provider Business Mailing Address
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Address Line | 1101 WESTBANK EXPY
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City | GRETNA
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State | LA
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Zip | 70053-5630
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Country | US
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Telephone | 504-361-7510
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Fax | 504-361-7549
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Authorized Official
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Title or Position | OWNER CEO
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Name | THERESA PETERS FISHER
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Credential |
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Telephone | 504-361-7510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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