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General NPI Number Information
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NPI Number | 1063712891
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Entity Type | Organization
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Legal Business Name | A BETTER WAY
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Dates
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Enumeration Date | 10/26/2010
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Last Update Date | 10/26/2010
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Provider Practice Location Address
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Address Line | 1040 PENNSYLVANIA AVE
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City | TRENTON
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State | NJ
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Zip | 08638-3345
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Country | US
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Telephone | 609-392-1224
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Fax | 609-392-1224
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Provider Business Mailing Address
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Address Line | 1040 PENNSYLVANIA AVE
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City | TRENTON
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State | NJ
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Zip | 08638-3345
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Country | US
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Telephone | 609-392-1224
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Fax | 609-392-1224
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. PERRY LEE SHAW III
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Credential |
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Telephone | 609-392-1224
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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 | S32646247301762
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License Number State | NJ
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