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General NPI Number Information
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NPI Number | 1649248733
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Entity Type | Organization
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Legal Business Name | LIFE LONG LEARNING CENTER, INC
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Dates
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Enumeration Date | 03/14/2006
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | 1699 SW SOUTHWORTH TER
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City | PORT ST LUCIE
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State | FL
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Zip | 34953-1012
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Country | US
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Telephone | 772-340-0594
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Fax | 772-304-0594
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Provider Business Mailing Address
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Address Line | 1699 SW SOUTHWORTH TER
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City | PORT ST LUCIE
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State | FL
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Zip | 34953-1012
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Country | US
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Telephone | 772-340-0594
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Fax | 772-340-0594
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Authorized Official
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Title or Position | RESPIRATORY THERAPIST
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Name | MR. CHARLES HOWARD SWIHART
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Credential | CRTT
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Telephone | 772-340-0594
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State | FL
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Taxonomy #3
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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 #4
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Taxonomy Code | 2278C0205X
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Taxonomy Name | Critical Care Certified Respiratory Therapist
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License Number |
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License Number State | FL
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Taxonomy #5
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Taxonomy Code | 227800000X
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Taxonomy Name | Certified Respiratory Therapist
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License Number |
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License Number State | FL
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Taxonomy #6
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Taxonomy Code | 2278E0002X
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Taxonomy Name | Emergency Care Certified Respiratory Therapist
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License Number |
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License Number State | FL
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