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General NPI Number Information
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NPI Number | 1578220794
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Entity Type | Organization
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Legal Business Name | LI ALLURE, L.L.C.
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Dates
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Enumeration Date | 11/22/2021
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Last Update Date | 05/26/2024
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Provider Practice Location Address
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Address Line | 8841 BELAIR RD
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City | NOTTINGHAM
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State | MD
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Zip | 21236-2403
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Country | US
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Telephone | 443-475-6626
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Fax |
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Provider Business Mailing Address
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Address Line | 8841 BELAIR RD
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City | NOTTINGHAM
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State | MD
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Zip | 21236-2403
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Country | US
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Telephone | 443-475-6626
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LATIARA LEE
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Credential |
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Telephone | 443-475-6626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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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 | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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