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General NPI Number Information
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NPI Number | 1609602770
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Entity Type | Organization
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Legal Business Name | UNITY FAMILY HEALTH LLC
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Dates
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Enumeration Date | 09/13/2024
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Last Update Date | 09/13/2024
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Provider Practice Location Address
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Address Line | 70 HIGHLAND ST
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City | WORCESTER
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State | MA
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Zip | 01609-2730
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Country | US
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Telephone | 508-715-6372
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Fax | 508-433-9785
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Provider Business Mailing Address
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Address Line | 11 VERNON ST
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City | OXFORD
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State | MA
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Zip | 01540-1525
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Country | US
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Telephone | 508-847-6546
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Fax | 508-433-9785
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | DR. KENNETH SCOTT PETERSON
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Credential | PHD, FNP-BC
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Telephone | 508-847-6546
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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