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General NPI Number Information
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NPI Number | 1477885606
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Entity Type | Organization
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Legal Business Name | LLPI HEALTHCARE ADVOCATES
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Dates
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Enumeration Date | 02/15/2010
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Last Update Date | 02/15/2010
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Provider Practice Location Address
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Address Line | 3028 ATHERLEY RD
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32092-5052
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Country | US
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Telephone | 904-994-3226
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Fax | 904-217-3170
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Provider Business Mailing Address
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Address Line | 3028 ATHERLEY RD
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City | SAINT AUGUSTINE
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State | FL
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Zip | 32092-5052
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Country | US
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Telephone |
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Fax | 904-217-3170
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Authorized Official
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Title or Position | PRESIDENT
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Name | PAMELA M ILARIA
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Credential | BSN,MS,CF,LHLA,LNC,
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Telephone | 904-540-5709
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | F09000000292
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 3659481
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License Number State | PA
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Taxonomy #3
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number | F09000000292
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License Number State | FL
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