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General NPI Number Information
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NPI Number | 1902037401
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Entity Type | Organization
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Legal Business Name | UNITED CARE GROUP, INC
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Dates
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Enumeration Date | 07/31/2009
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Last Update Date | 07/31/2009
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Provider Practice Location Address
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Address Line | 5501 LAKELAND AVE N SUITE 202
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City | CRYSTAL
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State | MN
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Zip | 55429-3171
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Country | US
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Telephone | 763-535-6451
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Fax | 763-535-2756
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Provider Business Mailing Address
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Address Line | 5501 LAKELAND AVE N SUITE 202
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City | CRYSTAL
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State | MN
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Zip | 55429-3171
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Country | US
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Telephone | 763-535-6451
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Fax | 763-535-2756
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. ROBIN JEAN DUNLAP
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Credential |
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Telephone | 763-535-6451
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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 | 343973
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License Number State | MN
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