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General NPI Number Information
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NPI Number | 1659041374
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Entity Type | Organization
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Legal Business Name | LIFE EMPOWERMENT INTERNATIONAL
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Dates
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Enumeration Date | 09/14/2021
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Last Update Date | 09/27/2021
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Provider Practice Location Address
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Address Line | 5120 E MARK LN
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City | CAVE CREEK
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State | AZ
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Zip | 85331-3391
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Country | US
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Telephone | 480-268-0477
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Fax |
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Provider Business Mailing Address
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Address Line | 5120 E MARK LN
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City | CAVE CREEK
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State | AZ
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Zip | 85331-3391
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Country | US
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Telephone | 480-268-0477
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Fax |
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Authorized Official
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Title or Position | MEMBER-MANAGER
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Name | CHRISTINA VERA
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Credential |
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Telephone | 480-268-0477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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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 | 225500000X
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Taxonomy Name | Respiratory/Developmental/Rehabilitative Specialist/Technologist
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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 | 235500000X
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Taxonomy Name | Speech/Language/Hearing Specialist/Technologist
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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 | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 302F00000X
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Taxonomy Name | Exclusive Provider Organization
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 305R00000X
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Taxonomy Name | Preferred Provider Organization
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 246Z00000X
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Taxonomy Name | Other Specialist/Technologist
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License Number |
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License Number State |
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