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General NPI Number Information
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NPI Number | 1013183987
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Entity Type | Organization
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Legal Business Name | LIFE-TIMESOLUTIONS
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Dates
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Enumeration Date | 05/01/2008
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Last Update Date | 05/01/2008
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Provider Practice Location Address
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Address Line | 2510 MICCOSUKEE RD SUITE 110
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5473
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Country | US
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Telephone | 850-325-6411
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Fax |
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Provider Business Mailing Address
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Address Line | 2510 MICCOSUKEE RD SUITE 110
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City | TALLAHASSEE
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State | FL
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Zip | 32308
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Country | US
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Telephone | 850-325-6411
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Fax |
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Authorized Official
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Title or Position | COO
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Name | ASHLEY GRASSIA MCNEAL
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Credential |
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Telephone | 850-325-6411
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 47-8013678015-2
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License Number State | FL
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