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NPI Code Detail

MEDICARE: MISS GORDANA UNICI MA

MEDICARE: MISS GORDANA UNICI MA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101Y00000XCounselor1114KY

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1902349582
Entity Type Code : Individual
Provider Name (Legal Business Name) : MISS GORDANA UNICI MA
Provider Business Mailing Address
First Line : 1712 HIGHWAY 121 BYP N STE I
Second Line :
City : MURRAY
State : KY
Zip : 42071-8864
Country : US
Telephone Number : 270-761-5804
Fax Number : 270-761-5807
Provider Business Practice Location Address
First Line : 1712 HIGHWAY 121 BYP N STE I
Second Line :
City : MURRAY
State : KY
Zip : 42071-8864
Country : US
Telephone Number : 270-761-5804
Fax Number : 270-761-5807
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 11/30/2016
Last Update Date : 01/31/2025

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Directions to “ MISS GORDANA UNICI MA” Practice Location

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