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General NPI Number Information
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NPI Number | 1275908014
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Entity Type | Organization
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Legal Business Name | LIFE GUIDE SERVICES INC
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Dates
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Enumeration Date | 12/04/2015
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Last Update Date | 10/26/2016
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Provider Practice Location Address
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Address Line | 7971 RIVIERA BLVD SUITE 314
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City | MIRAMAR
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State | FL
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Zip | 33023-6445
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Country | US
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Telephone | 305-777-8068
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Fax | 954-800-2290
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Provider Business Mailing Address
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Address Line | 7971 RIVIERA BLVD SUITE 433
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City | MIRAMAR
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State | FL
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Zip | 33023-6445
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Country | US
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Telephone | 305-777-8068
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Fax | 954-800-2290
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. VILMA URIARTE
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Credential |
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Telephone | 305-777-8068
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 002519800
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License Number State | FL
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