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General NPI Number Information
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NPI Number | 1952739435
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Entity Type | Organization
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Legal Business Name | UNITY GLOBAL AGENCY LLC
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Dates
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Enumeration Date | 10/22/2013
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Last Update Date | 10/22/2013
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Provider Practice Location Address
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Address Line | 634 CLINTON AVENUE 304
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City | NEWARK
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State | NJ
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Zip | 07108
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Country | US
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Telephone | 862-371-3005
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Fax | 862-267-3322
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Provider Business Mailing Address
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Address Line | 634 CLINTON AVENUE 304
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City | NEWARK
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State | NJ
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Zip | 07108
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Country | US
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Telephone | 862-371-3005
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Fax | 862-267-3322
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Authorized Official
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Title or Position | CEO
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Name | TAIWO ASEDIPUPO ADEYANJU
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Credential |
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Telephone | 862-371-3005
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HP0177400
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License Number State | NJ
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