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General NPI Number Information
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NPI Number | 1962139618
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Entity Type | Organization
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Legal Business Name | HOMEUNITED LLC
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Dates
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Enumeration Date | 08/03/2022
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Last Update Date | 08/17/2022
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Provider Practice Location Address
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Address Line | 3101 N FEDERAL HWY STE 606
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1018
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Country | US
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Telephone | 954-981-9301
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Fax | 954-368-5915
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Provider Business Mailing Address
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Address Line | 3101 N FEDERAL HWY STE 606
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City | FORT LAUDERDALE
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State | FL
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Zip | 33306-1018
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Country | US
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Telephone | 954-981-9301
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Fax | 954-368-5915
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Authorized Official
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Title or Position | OWNER
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Name | GEORGE EDWIN MILLER
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Credential |
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Telephone | 954-981-9301
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 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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