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General NPI Number Information
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NPI Number | 1932967288
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Entity Type | Organization
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Legal Business Name | UNITY RECUPERATIVE SERVICES LLC
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Dates
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Enumeration Date | 03/11/2024
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Last Update Date | 03/11/2024
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Provider Practice Location Address
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Address Line | 384 NEBRASKA AVE E
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City | SAINT PAUL
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State | MN
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Zip | 55130-3118
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Country | US
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Telephone | 651-208-5839
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Fax |
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Provider Business Mailing Address
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Address Line | 14180 AUTUMNWOOD TRL
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City | ROSEMOUNT
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State | MN
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Zip | 55068-2224
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Country | US
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Telephone | 763-587-8200
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MISS ELAINE WOODS
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Credential | SOCIAL WORKER
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Telephone | 763-213-3373
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State |
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