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NPI 1871443762

NPI 1871443762 : UNIFIED FAMILY CARE : GREENVILLE, MS

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General NPI Number Information
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    NPI Number           |    1871443762
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    Entity Type          |    Organization 
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    Legal Business Name  |    UNIFIED FAMILY CARE 
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Dates
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    Enumeration Date     |    01/30/2026
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    Last Update Date     |    01/30/2026
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Provider Practice Location Address
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    Address Line         |    1315 E UNION ST 
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    City                 |    GREENVILLE
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    State                |    MS
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    Zip                  |    38703-3245
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    Country              |    US
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    Telephone            |    870-632-7493
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    1315 E UNION ST 
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    City                 |    GREENVILLE
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    State                |    MS
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    Zip                  |    38703-3245
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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    |    OWNER
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    Name                 |    MRS. NISHA PRAVIN BHAKTA 
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    Credential           |    FNP
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    Telephone            |    870-632-7493
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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