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General NPI Number Information
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NPI Number | 1588755201
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Entity Type | Organization
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Legal Business Name | UNITY HOME HEALTH AGENCY & MEDICAL SUPPLY
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Dates
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Enumeration Date | 09/27/2006
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Last Update Date | 06/19/2009
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Provider Practice Location Address
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Address Line | 11671 STERLING AVE # A
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City | RIVERSIDE
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State | CA
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Zip | 92503-4971
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Country | US
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Telephone | 951-687-1669
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Fax |
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Provider Business Mailing Address
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Address Line | 11671 STERLING AVE # A
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City | RIVERSIDE
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State | CA
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Zip | 92503-4971
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Country | US
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Telephone | 951-687-1669
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. ELENA DUDNIC
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Credential |
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Telephone | 951-687-1669
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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 | 48440
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License Number State | CA
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