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General NPI Number Information
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NPI Number | 1801122932
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Entity Type | Organization
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Legal Business Name | UNIQUE HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 10/24/2009
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Last Update Date | 10/24/2009
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Provider Practice Location Address
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Address Line | 10121 ANCIENT SEA PATH
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City | LAUREL
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State | MD
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Zip | 20723-5862
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Country | US
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Telephone | 301-325-6099
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Fax |
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Provider Business Mailing Address
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Address Line | 10121 ANCIENT SEA PATH
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City | LAUREL
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State | MD
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Zip | 20723-5862
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MRS. OLUBISI WURAOLA SANUSI
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Credential | RN
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Telephone | 301-325-6099
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | R2804
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License Number State | MD
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