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General NPI Number Information
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NPI Number | 1952797466
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Entity Type | Organization
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Legal Business Name | FAMILY UNITY, LLC
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Dates
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Enumeration Date | 04/10/2015
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Last Update Date | 04/10/2015
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Provider Practice Location Address
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Address Line | 7264 W OAKLAND PARK BLVD
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City | LAUDERHILL
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State | FL
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Zip | 33313-1041
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Country | US
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Telephone | 954-703-1165
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Fax | 855-865-8463
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Provider Business Mailing Address
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Address Line | 7264 W. OAKLAND PARK BLVD
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City | LAUDERHILL
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State | FL
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Zip | 33313
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Country | US
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Telephone | 954-703-1165
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Fax | 855-865-8463
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Authorized Official
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Title or Position | CEO
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Name | SHAWNDRA MAINE
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Credential | M.S.
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Telephone | 954-703-1165
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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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