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General NPI Number Information
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NPI Number | 1568775187
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Entity Type | Organization
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Legal Business Name | UNIFIED MEDICAL SOLUTIONS INC
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Dates
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Enumeration Date | 07/24/2010
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Last Update Date | 11/28/2012
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Provider Practice Location Address
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Address Line | 4801 S UNIVERSITY DR SUITE 267
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City | DAVIE
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State | FL
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Zip | 33328-3839
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Country | US
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Telephone | 954-634-4292
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Fax | 954-634-4293
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Provider Business Mailing Address
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Address Line | 4801 SOUTH UNIVERSITY DR. SUITE 267
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City | DAVIE
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State | FL
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Zip | 33328-0000
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Country | US
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Telephone | 954-634-4292
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Fax | 954-634-4293
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Authorized Official
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Title or Position | PRESIDENT
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Name | JAYNE M MONTROSS
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Credential |
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Telephone | 954-862-1432
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 261QR0208X
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Taxonomy Name | Mobile Radiology Clinic/Center
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License Number |
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License Number State | FL
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