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General NPI Number Information
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NPI Number | 1881425932
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Entity Type | Organization
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Legal Business Name | ALL ONE LIFE LLC
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Dates
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Enumeration Date | 08/12/2024
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Last Update Date | 08/12/2024
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Provider Practice Location Address
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Address Line | 6501 ARLINGTON EXPY STE B1052208
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City | JACKSONVILLE
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State | FL
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Zip | 32211-5779
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Country | US
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Telephone | 321-710-6568
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Fax |
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Provider Business Mailing Address
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Address Line | 6501 ARLINGTON EXPY # B1052208
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City | JACKSONVILLE
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State | FL
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Zip | 32211-5779
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Country | US
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Telephone | 321-710-6568
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Fax |
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | DR. SHERELL EDWARDS
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Credential | ED.D
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Telephone | 321-710-6568
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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