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General NPI Number Information
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NPI Number | 1740607720
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Entity Type | Organization
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Legal Business Name | UNIFOUR ONE
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Dates
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Enumeration Date | 03/27/2014
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Last Update Date | 03/27/2014
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Provider Practice Location Address
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Address Line | 1400 BATTLEGROUND AVE STE 144E
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City | GREENSBORO
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State | NC
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Zip | 27408-8029
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Country | US
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Telephone | 336-541-8669
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Fax |
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Provider Business Mailing Address
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Address Line | 1400 BATTLEGROUND AVE STE 144E
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City | GREENSBORO
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State | NC
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Zip | 27408-8029
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Country | US
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Telephone | 336-541-8669
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | BRIAN ROWE
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Credential |
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Telephone | 336-541-8669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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