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General NPI Number Information
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NPI Number | 1548037245
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Entity Type | Organization
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Legal Business Name | UNIQUE HEARTS, LLC
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Dates
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Enumeration Date | 12/04/2023
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Last Update Date | 12/04/2023
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Provider Practice Location Address
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Address Line | 6568 STONEY PT S
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City | NORFOLK
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State | VA
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Zip | 23502-3916
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Country | US
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Telephone | 757-472-8441
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Fax |
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Provider Business Mailing Address
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Address Line | 6568 STONEY PT S
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City | NORFOLK
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State | VA
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Zip | 23502-3916
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Country | US
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Telephone | 757-472-8441
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Fax |
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Authorized Official
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Title or Position | ASSISTANT PROGRAM DIRECTOR
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Name | MRS. NANCY GREENE
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Credential |
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Telephone | 757-553-1718
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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