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General NPI Number Information
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NPI Number | 1730364340
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Entity Type | Organization
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Legal Business Name | UNIFOUR FAMILY HEALTH CARE LLC
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Dates
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Enumeration Date | 01/02/2008
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Last Update Date | 12/22/2010
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Provider Practice Location Address
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Address Line | 3451 GRAYSTONE PL SE
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City | NEWTON
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State | NC
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Zip | 28613-8200
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Country | US
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Telephone | 828-465-3644
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Fax |
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Provider Business Mailing Address
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Address Line | 3451 GRAYSTONE PL SE
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City | CONOVER
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State | NC
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Zip | 28613-8200
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Country | US
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Telephone | 828-285-5364
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Fax | 828-285-5335
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Authorized Official
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Title or Position | PRACTICE ADMINISTRATOR
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Name | MRS. TABITHA D TATE
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Credential |
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Telephone | 828-855-3644
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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