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General NPI Number Information
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NPI Number | 1124911177
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Entity Type | Organization
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Legal Business Name | BUDZ 4 LYFE INC
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 6550 SPRINT PARKWAY STE 200-3C561
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City | LEAWOOD
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State | KS
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Zip | 66211
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Country | US
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Telephone | 785-521-8073
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Fax |
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Provider Business Mailing Address
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Address Line | 6550 SPRINT PARKWAY STE 200-3C561
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City | LEAWOOD
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State | KS
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Zip | 66211
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Country | US
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Telephone | 785-521-8073
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Fax |
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Authorized Official
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Title or Position | COO
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Name | MR. MARCIAL COLE GOMEZ
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Credential | LPN
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Telephone | 785-521-8073
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion 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 | 251G00000X
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Taxonomy Name | Community Based Hospice Care 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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #8
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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 |
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