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General NPI Number Information
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NPI Number | 1760142400
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Entity Type | Organization
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Legal Business Name | FLOAT LAB LLC.
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Dates
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Enumeration Date | 12/21/2021
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Last Update Date | 12/22/2021
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Provider Practice Location Address
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Address Line | 1025 WESTWOOD BLVD STE B
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City | LOS ANGELES
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State | CA
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Zip | 90024-2902
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Country | US
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Telephone | 310-208-0000
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Fax |
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Provider Business Mailing Address
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Address Line | 801 OCEAN FRONT WALK STE 3
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City | VENICE
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State | CA
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Zip | 90291-9033
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Country | US
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Telephone | 310-396-3302
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CRAIG HOEFLER
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Credential |
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Telephone | 310-396-3302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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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 | 261QR0800X
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Taxonomy Name | Recovery Care Clinic/Center
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License Number |
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License Number State |
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