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General NPI Number Information
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NPI Number | 1821495821
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Entity Type | Organization
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Legal Business Name | EASYLIVING INC
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Dates
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Enumeration Date | 11/20/2014
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Last Update Date | 10/15/2021
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Provider Practice Location Address
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Address Line | 1180 PONCE DE LEON BLVD STE 701
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City | CLEARWATER
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State | FL
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Zip | 33756-1031
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Country | US
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Telephone | 727-447-5845
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Fax |
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Provider Business Mailing Address
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Address Line | 1180 PONCE DE LEON BLVD STE 701
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City | CLEARWATER
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State | FL
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Zip | 33756-1031
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Country | US
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Telephone | 727-447-5845
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | ALEX CHAMBERLAIN
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Credential |
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Telephone | 727-447-5845
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 299992282
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 299992282
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License Number State | FL
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