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General NPI Number Information
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NPI Number | 1831597525
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Entity Type | Organization
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Legal Business Name | UNITED SPECIALISTS OUTREACH NETWORK, P.A.
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Dates
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Enumeration Date | 12/11/2014
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Last Update Date | 05/11/2015
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Provider Practice Location Address
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Address Line | 2180 IMMOKALEE RD SUITE 201
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City | NAPLES
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State | FL
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Zip | 34110-1421
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Country | US
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Telephone | 718-382-7909
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Fax |
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Provider Business Mailing Address
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Address Line | 1860 SENEGAL DATE DR
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City | NAPLES
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State | FL
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Zip | 34119-3386
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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 | BILLING DEPARTMENT MANAGER
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Name | PAULA VISHNEVSKIY
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Credential |
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Telephone | 718-382-7909
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number |
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License Number State |
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