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General NPI Number Information
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NPI Number | 1083033393
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Entity Type | Organization
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Legal Business Name | A BETTER TOMORROW SUPPORT SERVICES, LLC.
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Dates
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Enumeration Date | 04/15/2014
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Last Update Date | 04/15/2014
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Provider Practice Location Address
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Address Line | 126 WOODSIDE DR SUITE F
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City | DANVILLE
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State | VA
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Zip | 24540-1646
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Country | US
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Telephone | 339-926-6375
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Fax |
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Provider Business Mailing Address
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Address Line | 126 WOODSIDE DR SUITE F
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City | DANVILLE
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State | VA
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Zip | 24540-1646
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Country | US
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Telephone | 339-926-6375
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | DAVID LAMONT WATKINS
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Credential | MBA
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Telephone | 336-986-4276
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 2339
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License Number State | VA
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