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General NPI Number Information
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NPI Number | 1821973900
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Entity Type | Organization
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Legal Business Name | UNIFIED CARE LLC
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Dates
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Enumeration Date | 08/07/2025
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Last Update Date | 08/13/2025
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Provider Practice Location Address
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Address Line | 1524 UNIVERSITY AVE
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City | GREEN BAY
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State | WI
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Zip | 54302-1829
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Country | US
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Telephone | 920-784-1429
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Fax |
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Provider Business Mailing Address
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Address Line | 1524 UNIVERSITY AVE
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City | GREEN BAY
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State | WI
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Zip | 54302-1829
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Country | US
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Telephone | 920-784-1429
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. FERMIN MORALES
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Credential | LPN
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Telephone | 920-518-1181
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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