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General NPI Number Information
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NPI Number | 1770906232
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Entity Type | Organization
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Legal Business Name | LIVEWELL OPERATIONS II INC
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Dates
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Enumeration Date | 02/03/2014
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Last Update Date | 02/03/2014
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Provider Practice Location Address
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Address Line | 15520 NW 2ND AVE
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City | MIAMI
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State | FL
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Zip | 33169-6710
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Country | US
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Telephone | 305-949-2626
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Fax |
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Provider Business Mailing Address
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Address Line | 15520 NW 2ND AVE
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City | MIAMI
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State | FL
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Zip | 33169-6710
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Country | US
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Telephone | 305-949-2626
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | YANIR SHMARYOU
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Credential |
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Telephone | 305-949-2626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number | AL7169
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License Number State | FL
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