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General NPI Number Information
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NPI Number | 1801471503
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Entity Type | Organization
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Legal Business Name | LIFE RESOURCES, LLC
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Dates
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Enumeration Date | 03/14/2021
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Last Update Date | 07/28/2023
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Provider Practice Location Address
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Address Line | 1157 S STATE ROAD 7
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City | WELLINGTON
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State | FL
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Zip | 33414-6101
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Country | US
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Telephone | 561-234-6599
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Fax | 888-809-1447
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Provider Business Mailing Address
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Address Line | 1157 S STATE ROAD 7
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City | WELLINGTON
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State | FL
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Zip | 33414-6101
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Country | US
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Telephone | 561-234-6599
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Fax | 888-809-1447
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Authorized Official
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Title or Position | CEO
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Name | JON ARENSTEIN
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Credential | MD
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Telephone | 561-234-6599
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RI0200X
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Taxonomy Name | Infectious Disease Physician
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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