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General NPI Number Information
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NPI Number | 1598645426
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Entity Type | Organization
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Legal Business Name | UNIQUE DIAGNOSTICS LLC
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Dates
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Enumeration Date | 09/03/2025
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Last Update Date | 09/03/2025
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Provider Practice Location Address
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Address Line | 2600 W OLD US HIGHWAY 441 STE 974
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City | MOUNT DORA
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State | FL
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Zip | 32757-3548
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Country | US
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Telephone | 334-734-3772
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Fax |
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Provider Business Mailing Address
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Address Line | 1536 BAYWOOD VILLAGE CT
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City | MOUNT DORA
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State | FL
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Zip | 32757-2100
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Country | US
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Telephone | 325-734-3772
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TORI L VINES
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Credential | PHLEBOTOMIST,
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Telephone | 334-734-3772
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 202K00000X
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Taxonomy Name | Phlebology Physician
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License Number |
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License Number State |
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