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General NPI Number Information
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NPI Number | 1316338601
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Entity Type | Organization
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Legal Business Name | LIFE SKILLS MANAGEMENT SERVICES LLC
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Dates
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Enumeration Date | 02/09/2015
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Last Update Date | 02/09/2015
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Provider Practice Location Address
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Address Line | 260 NW 106TH ST
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City | MIAMI
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State | FL
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Zip | 33150-1149
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Country | US
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Telephone | 786-237-5165
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Fax |
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Provider Business Mailing Address
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Address Line | 260 NW 106TH ST
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City | MIAMI
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State | FL
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Zip | 33150-1149
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDA S ELMA
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Credential | MBA
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Telephone | 786-237-5165
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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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