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General NPI Number Information
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NPI Number | 1932929379
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Entity Type | Organization
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Legal Business Name | UNITY CARES GROUP HOME, LLC
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Dates
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Enumeration Date | 10/11/2024
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Last Update Date | 01/28/2025
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Provider Practice Location Address
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Address Line | 3317 LANCELOT RD
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City | PETERSBURG
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State | VA
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Zip | 23805-1120
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Country | US
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Telephone | 804-721-1642
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Fax |
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Provider Business Mailing Address
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Address Line | 19651 ENGLISH WELLS WAY APT 101
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City | CHESTER
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State | VA
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Zip | 23831-7868
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Country | US
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Telephone | 804-721-1642
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | NAYGIL MARQUEZ
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Credential |
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Telephone | 804-721-1642
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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