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General NPI Number Information
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NPI Number | 1730993536
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Entity Type | Organization
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Legal Business Name | LIVASSIST LLC
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Dates
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Enumeration Date | 02/03/2025
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Last Update Date | 02/03/2025
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Provider Practice Location Address
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Address Line | 300 CAPITOL ST STE 923
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City | CHARLESTON
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State | WV
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Zip | 25301-1748
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Country | US
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Telephone | 866-448-6565
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Fax |
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Provider Business Mailing Address
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Address Line | 2550 W UNION HILLS DR STE 350
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City | PHOENIX
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State | AZ
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Zip | 85027-5187
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Country | US
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Telephone | 866-448-6565
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Fax |
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Authorized Official
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Title or Position | ENTITY
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Name | LIVING WELL LLC
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Credential |
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Telephone | 866-448-6565
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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