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General NPI Number Information
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NPI Number | 1801714993
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Entity Type | Organization
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Legal Business Name | LIVE FOREVER HEALTH FRANCHISE LLC
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Dates
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Enumeration Date | 07/07/2026
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Last Update Date | 07/07/2026
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Provider Practice Location Address
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Address Line | 2820 NE 214TH ST STE 802
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City | AVENTURA
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State | FL
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Zip | 33180-1269
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Country | US
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Telephone | 855-954-8336
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Fax | 786-999-0996
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Provider Business Mailing Address
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Address Line | 2820 NE 214TH ST STE 802
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City | AVENTURA
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State | FL
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Zip | 33180-1269
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Country | US
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Telephone | 855-954-8336
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Fax | 786-999-0996
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | RICHARD RODRIGUEZ
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Credential |
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Telephone | 754-239-3532
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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