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General NPI Number Information
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NPI Number | 1174001655
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Entity Type | Organization
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Legal Business Name | LIVING LIGHT LLC
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Dates
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Enumeration Date | 08/06/2018
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Last Update Date | 08/06/2018
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Provider Practice Location Address
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Address Line | 4851 TAMIAMI TRL N STE 200
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City | NAPLES
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State | FL
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Zip | 34103-3098
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Country | US
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Telephone | 239-302-1632
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Fax | 813-803-3389
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Provider Business Mailing Address
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Address Line | 4851 TAMIAMI TRL N STE 200
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City | NAPLES
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State | FL
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Zip | 34103-3098
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Country | US
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Telephone | 239-302-1632
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Fax | 813-803-3389
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Authorized Official
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Title or Position | OWNER
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Name | FIDEL NAVARROZA
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Credential |
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Telephone | 813-693-7989
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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