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General NPI Number Information
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NPI Number | 1245426139
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Entity Type | Organization
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Legal Business Name | ACCESSIBLE LIVING, INC
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Dates
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Enumeration Date | 09/24/2007
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Last Update Date | 09/24/2007
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Provider Practice Location Address
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Address Line | 160 SW 5TH CT
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City | POMPANO BEACH
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State | FL
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Zip | 33060-7910
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Country | US
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Telephone | 954-782-3279
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Fax | 954-564-8938
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Provider Business Mailing Address
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Address Line | 160 SW 5TH CT
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City | POMPANO BEACH
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State | FL
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Zip | 33060-7910
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Country | US
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Telephone | 954-782-3279
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Fax | 954-564-8938
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Authorized Official
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Title or Position | OFFICER/DIRECTOR
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Name | VIRGINIA CONNER
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Credential |
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Telephone | 954-782-3279
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 1313362
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License Number State | FL
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