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General NPI Number Information
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NPI Number | 1063842516
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Entity Type | Organization
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Legal Business Name | A BETTER TOMORROW LLC
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Dates
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Enumeration Date | 11/20/2013
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Last Update Date | 11/20/2013
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Provider Practice Location Address
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Address Line | 7190 SMOKE RANCH RD UNIT 110
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City | LAS VEGAS
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State | NV
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Zip | 89128-8397
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Country | US
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Telephone | 702-813-6450
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Fax |
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Provider Business Mailing Address
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Address Line | 117 ROSA ROSALES CT
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City | N LAS VEGAS
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State | NV
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Zip | 89031-2593
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Country | US
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Telephone | 702-813-6450
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Fax |
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Authorized Official
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Title or Position | MEDICAL SUPERVISOR
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Name | ANGELA LORENZO
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Credential |
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Telephone | 702-630-9338
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 2000333.62-101
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License Number State | NV
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