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General NPI Number Information
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NPI Number | 1770727869
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Entity Type | Organization
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Legal Business Name | UNILISI LLC
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Dates
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Enumeration Date | 04/21/2009
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Last Update Date | 05/30/2019
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Provider Practice Location Address
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Address Line | 24 SARDIS RD STE H
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City | ASHEVILLE
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State | NC
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Zip | 28806-9564
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Country | US
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Telephone | 828-665-3944
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Fax | 866-305-3446
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Provider Business Mailing Address
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Address Line | 24 SARDIS RD STE H
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City | ASHEVILLE
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State | NC
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Zip | 28806-9564
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Country | US
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Telephone | 828-665-3944
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Fax | 866-305-3446
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MR. JEROME BOUILLON
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Credential |
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Telephone | 828-412-1013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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