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General NPI Number Information
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NPI Number | 1447523303
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Entity Type | Organization
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Legal Business Name | UNIQUELY YOU OF FLORIDA INC.
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Dates
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Enumeration Date | 02/22/2012
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Last Update Date | 07/09/2012
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Provider Practice Location Address
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Address Line | 707 60TH STREET CT E SUITE B
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City | BRADENTON
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State | FL
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Zip | 34208-6279
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Country | US
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Telephone | 941-243-3856
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Fax | 941-243-3857
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Provider Business Mailing Address
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Address Line | 707 60TH STREET CT E STE B
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City | BRADENTON
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State | FL
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Zip | 34208-6268
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Country | US
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Telephone | 941-243-3856
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Fax | 941-243-3857
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Authorized Official
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Title or Position | VP
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Name | MRS. WHITNEY M KITCHENS
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Credential |
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Telephone | 941-705-0046
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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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 | 224900000X
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Taxonomy Name | Mastectomy Fitter
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License Number |
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License Number State |
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