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General NPI Number Information
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NPI Number | 1700308764
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Entity Type | Organization
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Legal Business Name | UNITY CARE GROUP, INC.
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Dates
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Enumeration Date | 07/12/2017
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Last Update Date | 03/08/2022
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Provider Practice Location Address
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Address Line | 1224 COLOMA WAY STE 190
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City | ROSEVILLE
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State | CA
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Zip | 95661-4601
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Country | US
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Telephone | 530-214-0789
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Fax | 530-886-2854
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Provider Business Mailing Address
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Address Line | 1400 PARKMOOR AVE STE 115
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City | SAN JOSE
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State | CA
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Zip | 95126-3797
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Country | US
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Telephone | 408-971-9822
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND CEO
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Name | ANDRE CHAPMAN
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Credential |
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Telephone | 408-971-9822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 00128
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License Number State | CA
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