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General NPI Number Information
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NPI Number | 1700553211
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Entity Type | Organization
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Legal Business Name | UNITY MOBILE HEALTH LLC
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Dates
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Enumeration Date | 08/24/2021
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Last Update Date | 08/24/2021
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Provider Practice Location Address
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Address Line | 110 FAIRLAWN DR
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City | DANVILLE
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State | VA
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Zip | 24540-1630
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Country | US
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Telephone | 434-421-3020
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Fax |
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Provider Business Mailing Address
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Address Line | 110 FAIRLAWN DR
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City | DANVILLE
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State | VA
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Zip | 24540-1630
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Country | US
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Telephone | 434-429-0565
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Fax |
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Authorized Official
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Title or Position | PRESIDENT AND DIRECTOR
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Name | MS. DAVETTA C MYERS
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Credential | LPN
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Telephone | 434-421-3020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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