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General NPI Number Information
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NPI Number | 1083764724
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Entity Type | Organization
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Legal Business Name | INDEPENDENT LIVING SYSTEMS LLC
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 4601 NW 77TH AVE
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City | MIAMI
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State | FL
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Zip | 33166-6449
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Country | US
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Telephone | 786-918-5857
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Fax | 305-675-7825
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Provider Business Mailing Address
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Address Line | 4601 NW 77TH AVE
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City | MIAMI
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State | FL
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Zip | 33166-6449
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Country | US
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Telephone | 305-262-1292
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Fax | 305-675-7825
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Authorized Official
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Title or Position | CEO
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Name | NESTOR PLANA
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Credential |
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Telephone | 305-262-1292
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133V00000X
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Taxonomy Name | Registered Dietitian
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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 | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number | CONTRACTUAL SERVICES
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License Number State | FL
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Taxonomy #4
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | CONTRACTUAL SERVICES
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License Number State | FL
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