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General NPI Number Information
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NPI Number | 1407162647
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Entity Type | Organization
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Legal Business Name | UNIFAM CARE INC
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Dates
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Enumeration Date | 08/25/2010
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Last Update Date | 08/25/2010
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Provider Practice Location Address
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Address Line | 7144 N HARLEM AVE SUITE 1303
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City | CHICAGO
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State | IL
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Zip | 60631-1005
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Country | US
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Telephone | 312-799-9067
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Fax |
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Provider Business Mailing Address
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Address Line | 7144 N HARLEM AVE SUITE 1303
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City | CHICAGO
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State | IL
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Zip | 60631-1005
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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 | CURTIS C CATES
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Credential |
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Telephone | 312-799-9067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 036064170
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License Number State | IL
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