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General NPI Number Information
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NPI Number | 1952661142
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Entity Type | Organization
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Legal Business Name | LIFESTYLE SECURE LLC
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Dates
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Enumeration Date | 05/21/2012
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Last Update Date | 05/21/2012
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Provider Practice Location Address
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Address Line | 7709 CORNWALL RD
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City | RICHMOND
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State | VA
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Zip | 23229-6803
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Country | US
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Telephone | 804-364-4909
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 17152
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City | RICHMOND
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State | VA
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Zip | 23226-7152
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Country | US
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Telephone | 804-441-2539
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Fax |
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | MR. JOHN STROZIER III
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Credential |
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Telephone | 804-441-2539
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333300000X
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Taxonomy Name | Emergency Response System Companies
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License Number |
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License Number State | VA
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