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General NPI Number Information
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NPI Number | 1386063675
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Entity Type | Organization
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Legal Business Name | U.N.I. MEDICAL CARE, INC
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 10/12/2022
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Provider Practice Location Address
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Address Line | 6490 DOBBIN CENTER WAY SUITE C
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City | COLUMBIA
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State | MD
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Zip | 21045-4728
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Country | US
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Telephone | 443-542-0883
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Fax |
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Provider Business Mailing Address
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Address Line | 6030 DAYBREAK CIRCLE STE A150/329
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City | CLARKSVILLE
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State | MD
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Zip | 21029-1252
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JOCELYN SWANSON-APOLLON
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Credential | M.D.
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Telephone | 443-604-4716
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | D37384
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License Number State | MD
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Taxonomy #2
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | D37874
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License Number State | MD
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