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General NPI Number Information
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NPI Number | 1447700828
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Entity Type | Organization
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Legal Business Name | LIVE IN PEACE, LLC
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Dates
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Enumeration Date | 10/10/2016
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Last Update Date | 10/10/2016
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Provider Practice Location Address
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Address Line | 190 ENGLAND ST
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City | PICKERINGTON
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State | OH
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Zip | 43147-2249
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Country | US
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Telephone | 614-579-7308
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Fax |
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Provider Business Mailing Address
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Address Line | 190 ENGLAND ST
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City | PICKERINGTON
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State | OH
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Zip | 43147
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Country | US
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Telephone | 614-579-7308
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Fax |
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Authorized Official
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Title or Position | COO
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Name | GUERLY BACKER
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Credential | LPN
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Telephone | 614-579-7308
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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 |
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License Number State |
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