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General NPI Number Information
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NPI Number | 1326123258
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Entity Type | Organization
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Legal Business Name | UNITED LIFESTYLES
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Dates
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Enumeration Date | 10/26/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 407 S NELSON ST
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City | GREENVILLE
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State | MI
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Zip | 48838-2138
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Country | US
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Telephone | 800-406-4551
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Fax |
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Provider Business Mailing Address
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Address Line | 407 S NELSON ST
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City | GREENVILLE
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State | MI
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Zip | 48838-2138
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Country | US
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Telephone | 800-406-4551
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. JODIE FABER
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Credential |
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Telephone | 800-406-4551
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 251J00000X
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License Number State | MI
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