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General NPI Number Information
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NPI Number | 1063663821
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Entity Type | Organization
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Legal Business Name | RARLENY BETTER LIFE, CORP
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Dates
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Enumeration Date | 10/09/2008
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Last Update Date | 10/09/2008
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Provider Practice Location Address
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Address Line | 1871 CORAL WAY SUITE 201
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City | CORAL GABLES
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State | FL
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Zip | 33145-2786
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Country | US
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Telephone | 305-858-9921
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Fax | 305-858-9922
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Provider Business Mailing Address
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Address Line | 1871 CORAL WAY SUITE 201
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City | CORAL GABLES
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State | FL
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Zip | 33145-2786
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Country | US
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Telephone | 305-858-9921
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Fax | 305-858-9922
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Authorized Official
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Title or Position | PRESIDENT
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Name | EARLES GONZALEZ
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Credential |
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Telephone | 305-858-9921
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | ME28504
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License Number State | FL
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