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General NPI Number Information
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NPI Number | 1801479878
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Entity Type | Organization
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Legal Business Name | UNITY MEDICAL CENTER & SERVICES LLC
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Dates
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Enumeration Date | 04/28/2021
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Last Update Date | 05/10/2021
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Provider Practice Location Address
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Address Line | 1511 PROSPERITY FARMS RD
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City | LAKE PARK
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State | FL
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Zip | 33403-2046
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Country | US
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Telephone | 508-345-2365
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Fax |
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Provider Business Mailing Address
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Address Line | 2543 SUMMER GLEN DR
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City | ORLANDO
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State | FL
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Zip | 32818-4753
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Country | US
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Telephone | 561-410-4501
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | NATACHA ETIENNE
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Credential | APRN
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Telephone | 561-410-4501
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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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 | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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