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General NPI Number Information
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NPI Number | 1477128031
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Entity Type | Organization
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Legal Business Name | UNIQINECO INC
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Dates
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Enumeration Date | 05/25/2021
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Last Update Date | 05/25/2021
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Provider Practice Location Address
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Address Line | 4217 MARY RIDGE DR
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-4318
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Country | US
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Telephone | 410-701-8249
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 982
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City | RANDALLSTOWN
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State | MD
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Zip | 21133-0982
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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 | PROGRAM DIRECTOR
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Name | ENA OKEREKE
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Credential |
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Telephone | 410-701-8249
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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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