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General NPI Number Information
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NPI Number | 1326986761
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Entity Type | Organization
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Legal Business Name | LIVE CIRCLE CLINICAL DECISION SUPPORT CENTER, LLC
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Dates
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Enumeration Date | 03/24/2026
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Last Update Date | 03/24/2026
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Provider Practice Location Address
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Address Line | 515 N FLAGLER DR STE 405
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-4349
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Country | US
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Telephone | 610-405-5267
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Fax |
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Provider Business Mailing Address
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Address Line | 515 N FLAGLER DR STE 405
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-4349
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Country | US
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Telephone | 610-405-5267
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Fax |
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Authorized Official
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Title or Position | CHIEF COMMERCIALIZATION OFFICER
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Name | PAUL TIRJAN
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Credential | MBA
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Telephone | 610-405-5267
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 293D00000X
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Taxonomy Name | Physiological Laboratory
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License Number |
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License Number State |
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