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General NPI Number Information
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NPI Number | 1992609283
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Entity Type | Organization
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Legal Business Name | CRC UNIQUE
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Dates
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Enumeration Date | 10/08/2026
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Last Update Date | 10/08/2026
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Provider Practice Location Address
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Address Line | 922 SE DAMASK AVE
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34983-4013
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Country | US
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Telephone | 561-485-5352
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Fax |
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Provider Business Mailing Address
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Address Line | 922 SE DAMASK AVE
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City | PORT SAINT LUCIE
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State | FL
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Zip | 34983-4013
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Country | US
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Telephone | 561-485-5352
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | CINDY HICKS
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Credential | LPN
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Telephone | 561-485-5352
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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 |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State | NULL
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Taxonomy #3
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State | NULL
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Taxonomy #4
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Taxonomy Code | 332BD1200X
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Taxonomy Name | Dialysis Equipment & Supplies (DME)
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License Number |
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License Number State | NULL
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Taxonomy #5
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number |
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License Number State | NULL
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Taxonomy #6
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Taxonomy Code | 332BP3500X
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Taxonomy Name | Parenteral & Enteral Nutrition Supplies (DME)
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License Number |
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License Number State | NULL
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Taxonomy #7
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State | NULL
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Taxonomy #8
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Taxonomy Code | 332H00000X
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Taxonomy Name | Eyewear Supplier
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License Number |
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License Number State | NULL
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Taxonomy #9
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Taxonomy Code | 332S00000X
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Taxonomy Name | Hearing Aid Equipment
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License Number |
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License Number State | NULL
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Taxonomy #10
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Taxonomy Code | 335V00000X
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Taxonomy Name | Portable X-ray and/or Other Portable Diagnostic Imaging Supplier
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License Number |
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License Number State | NULL
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