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General NPI Number Information
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NPI Number | 1306034384
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Entity Type | Organization
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Legal Business Name | HEALTHY LIFE PLUS, CORP.
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Dates
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Enumeration Date | 10/04/2007
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Last Update Date | 04/09/2008
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Provider Practice Location Address
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Address Line | 6555 NW 36TH ST SUITE B-108
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City | VIRGINIA GARDENS
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State | FL
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Zip | 33166-6978
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Country | US
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Telephone | 786-265-0565
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Fax | 786-265-0566
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Provider Business Mailing Address
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Address Line | 6555 NW 36TH ST SUITE B-108
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City | VIRGINIA GARDENS
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State | FL
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Zip | 33166-6978
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Country | US
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Telephone | 786-265-0565
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Fax | 786-265-0566
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. YOEL PEREZ MARTINEZ
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Credential |
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Telephone | 786-265-0565
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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 |
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License Number State | FL
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