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General NPI Number Information
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NPI Number | 1659617371
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Entity Type | Organization
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Legal Business Name | HAPPINESS LIFE CENTER, INC
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Dates
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Enumeration Date | 12/28/2012
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Last Update Date | 12/28/2012
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Provider Practice Location Address
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Address Line | 840 DUNLAWTON AVE SUITE D
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City | PORT ORANGE
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State | FL
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Zip | 32127-4223
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Country | US
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Telephone | 386-868-3892
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Fax | 386-506-8255
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Provider Business Mailing Address
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Address Line | 840 DUNLAWTON AVE SUITE D
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City | PORT ORANGE
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State | FL
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Zip | 32127-4223
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Country | US
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Telephone | 386-868-3892
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Fax | 386-506-8255
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. STEVEN M KATZ
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Credential |
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Telephone | 386-868-3892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 9213
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License Number State | FL
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