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General NPI Number Information
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NPI Number | 1922207919
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Entity Type | Organization
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Legal Business Name | UNITED CARE INC.
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Dates
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Enumeration Date | 07/11/2007
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Last Update Date | 07/11/2007
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Provider Practice Location Address
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Address Line | 3699 CRENSHAW BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90016-4849
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Country | US
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Telephone | 323-508-0200
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Fax | 323-508-0103
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Provider Business Mailing Address
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Address Line | 3699 CRENSHAW BLVD
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City | LOS ANGELES
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State | CA
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Zip | 90016-4849
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Country | US
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Telephone | 323-508-0200
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Fax | 323-508-0103
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. CRAIG JOSEPH WOODS
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Credential |
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Telephone | 323-508-0200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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