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General NPI Number Information
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NPI Number | 1134861487
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Entity Type | Organization
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Legal Business Name | LIVING INDEPENDENTLY FOREVER INC
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Dates
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Enumeration Date | 04/08/2022
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Last Update Date | 04/11/2022
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Provider Practice Location Address
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Address Line | 550 LINCOLN ROAD EXT
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City | HYANNIS
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State | MA
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Zip | 02601-6233
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Country | US
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Telephone | 508-790-3600
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Fax |
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Provider Business Mailing Address
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Address Line | 550 LINCOLN ROAD EXT
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City | HYANNIS
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State | MA
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Zip | 02601-6233
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DIANE ENOCHS
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Credential |
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Telephone | 508-790-3600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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