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General NPI Number Information
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NPI Number | 1487570008
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Entity Type | Organization
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Legal Business Name | THE L.I.V.E. PROGRAM
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Dates
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Enumeration Date | 06/26/2026
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Last Update Date | 06/26/2026
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Provider Practice Location Address
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Address Line | 3708 HEWITT ST
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City | GREENSBORO
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State | NC
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Zip | 27407-2224
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Country | US
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Telephone | 336-303-0314
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Fax |
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Provider Business Mailing Address
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Address Line | 41 LEDGER STONE LN
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City | GREENSBORO
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State | NC
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Zip | 27407-4199
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Country | US
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Telephone | 336-303-0314
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | NICOLE ARCHIE
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Credential |
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Telephone | 336-303-0314
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 177F00000X
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Taxonomy Name | Lodging Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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