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General NPI Number Information
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NPI Number | 1780528448
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Entity Type | Organization
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Legal Business Name | UNITED WELLNESS SERVICES INC
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Dates
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Enumeration Date | 04/15/2026
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Last Update Date | 04/15/2026
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Provider Practice Location Address
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Address Line | 3220 AVENUE H APT 1H
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City | BROOKLYN
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State | NY
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Zip | 11210-3236
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Country | US
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Telephone | 347-620-3339
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Fax | 347-548-9953
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Provider Business Mailing Address
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Address Line | 3220 AVENUE H APT 1H
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City | BROOKLYN
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State | NY
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Zip | 11210-3236
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Country | US
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Telephone | 347-620-3339
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Fax | 347-548-9953
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Authorized Official
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Title or Position | FOUNDER, PRESIDENT
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Name | JASON DUCOS
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Credential | LCSW-R, CASAC-M
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Telephone | 347-620-3339
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084B0040X
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Taxonomy Name | Behavioral Neurology & Neuropsychiatry Physician
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License Number |
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License Number State |
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