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General NPI Number Information
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NPI Number | 1700321239
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Entity Type | Organization
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Legal Business Name | AIVIVE, INC.
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Dates
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Enumeration Date | 12/19/2016
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Last Update Date | 12/19/2016
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Provider Practice Location Address
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Address Line | 101 1ST ST # 188
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City | LOS ALTOS HILLS
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State | CA
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Zip | 94022-2750
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Country | US
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Telephone | 650-465-9149
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Fax |
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Provider Business Mailing Address
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Address Line | 101 1ST ST # 188
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City | LOS ALTOS HILLS
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State | CA
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Zip | 94022-2750
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Country | US
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Telephone | 650-465-9149
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | MS. LILY HU
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Credential | CPA
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Telephone | 650-465-9149
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | N5022942
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License Number State | CA
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