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General NPI Number Information
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NPI Number | 1194023879
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Entity Type | Organization
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Legal Business Name | LIVE EVERY DAY LLC
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Dates
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Enumeration Date | 03/04/2011
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Last Update Date | 02/06/2020
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Provider Practice Location Address
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Address Line | 68 BRIDGE ST SUITE 111
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City | SUFFIELD
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State | CT
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Zip | 06078-2173
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Country | US
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Telephone | 860-254-5190
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Fax | 860-413-2081
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Provider Business Mailing Address
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Address Line | 68 BRIDGE ST SUITE 111
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City | SUFFIELD
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State | CT
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Zip | 06078-2173
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Country | US
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Telephone | 860-254-5190
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Fax | 860-413-2081
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Authorized Official
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Title or Position | CO-OWNER
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Name | ANTHONY CALENDRILLO
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Credential |
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Telephone | 860-254-5190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 2251X0800X
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Taxonomy Name | Orthopedic Physical Therapist
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License Number | 007740
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License Number State | CT
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