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General NPI Number Information
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NPI Number | 1790636264
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Entity Type | Organization
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Legal Business Name | UNYQUE DIAGNOSTICS PLLC
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Dates
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Enumeration Date | 02/09/2026
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Last Update Date | 02/09/2026
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Provider Practice Location Address
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Address Line | 6290 WINDLASS AVE SE
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City | PORT ORCHARD
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State | WA
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Zip | 98367-8398
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Country | US
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Telephone | 513-587-8966
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Fax | 561-437-8116
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Provider Business Mailing Address
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Address Line | 66 MILL CREEK DR
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City | YOUNGSTOWN
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State | OH
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Zip | 44512-1549
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Country | US
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Telephone | 513-587-8966
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Fax | 561-437-8116
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Authorized Official
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Title or Position | CHIEF CLINICAL OFFICER - MH
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Name | MADELINE KAY NELSON
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Credential | PHD
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Telephone | 513-587-8966
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number |
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License Number State |
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