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General NPI Number Information
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NPI Number | 1477891703
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Entity Type | Organization
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Legal Business Name | YOUNIQUE INNOVATED HEALTHCARE
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Dates
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Enumeration Date | 01/22/2013
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Last Update Date | 03/22/2013
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Provider Practice Location Address
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Address Line | 2049 NE 15TH TER
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City | GAINESVILLE
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State | FL
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Zip | 32609-3978
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Country | US
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Telephone | 352-359-6725
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Fax | 352-336-3725
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Provider Business Mailing Address
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Address Line | 2049 NE 15TH TER
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City | GAINESVILLE
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State | FL
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Zip | 32609-3978
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Country | US
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Telephone | 352-359-6725
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Fax | 352-336-3725
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. SHAKEVA PANELA LAWRENCE
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Credential | RN
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Telephone | 352-359-6725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | RN 9229522
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License Number State | FL
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