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General NPI Number Information
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NPI Number | 1164059739
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Entity Type | Organization
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Legal Business Name | LIFEBIO
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Dates
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Enumeration Date | 03/24/2020
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Last Update Date | 04/05/2020
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Provider Practice Location Address
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Address Line | 232 N MAIN ST STE 2J
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City | MARYSVILLE
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State | OH
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Zip | 43040-1138
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Country | US
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Telephone | 937-303-4574
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Fax |
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Provider Business Mailing Address
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Address Line | 232 N MAIN ST STE 2J
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City | MARYSVILLE
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State | OH
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Zip | 43040-1138
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Country | US
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Telephone | 937-303-4574
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Fax |
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Authorized Official
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Title or Position | FOUNDER AND CEO
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Name | LISBETH SANDERS
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Credential |
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Telephone | 937-303-4574
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 #2
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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 #3
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State |
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