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General NPI Number Information
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NPI Number | 1386096089
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Entity Type | Organization
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Legal Business Name | UNITED CARE SOLUTIONS
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Dates
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Enumeration Date | 07/06/2016
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Last Update Date | 07/06/2016
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Provider Practice Location Address
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Address Line | 733 LAKE CAROLINE DR
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City | RUTHER GLEN
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State | VA
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Zip | 22546-5310
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Country | US
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Telephone | 804-589-1448
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Fax | 804-589-0346
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Provider Business Mailing Address
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Address Line | 733 LAKE CAROLINE DR
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City | RUTHER GLEN
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State | VA
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Zip | 22546-5310
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Country | US
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Telephone | 804-589-1448
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Fax | 804-589-0346
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | MRS. ROGANDA BYRD-FREEMAN
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Credential |
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Telephone | 804-589-1448
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 0172358340
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License Number State | VA
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