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General NPI Number Information
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NPI Number | 1336016989
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Entity Type | Organization
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Legal Business Name | UNITED CARE AGENCY, LLP
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Dates
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Enumeration Date | 10/20/2025
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Last Update Date | 10/20/2025
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Provider Practice Location Address
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Address Line | 120 E MARKET ST STE 200
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City | INDIANAPOLIS
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State | IN
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Zip | 46204-3254
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Country | US
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Telephone | 463-261-3233
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Fax |
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Provider Business Mailing Address
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Address Line | 6101 N KEYSTONE AVE STE 100
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City | INDIANAPOLIS
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State | IN
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Zip | 46220-2499
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Country | US
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Telephone | 866-875-0673
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Fax |
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Authorized Official
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Title or Position | GENERAL PARTNER
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Name | DOMINIQUE SQUIRES
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Credential |
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Telephone | 463-261-3233
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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