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General NPI Number Information
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NPI Number | 1811300320
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Entity Type | Organization
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Legal Business Name | NULIFE INTEGRATED HEALTHCARE INC
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Dates
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Enumeration Date | 06/03/2014
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Last Update Date | 06/03/2014
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Provider Practice Location Address
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Address Line | 9101 LAKERIDGE BLVD
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City | BOCA RATON
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State | FL
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Zip | 33496
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Country | US
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Telephone | 844-696-8543
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Fax | 844-333-0678
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Provider Business Mailing Address
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Address Line | PO BOX 1404
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City | BOCA RATON
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State | FL
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Zip | 33429-1404
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Country | US
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Telephone | 844-696-8543
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Fax | 844-333-0678
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Authorized Official
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Title or Position | CEO
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Name | MR. LOUIS D COSENZA
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Credential |
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Telephone | 844-696-8543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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License Number |
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License Number State | FL
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