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NPI 1104134279

NPI 1104134279 : BETTER YOU, PLLC : HENDERSONVILLE, TN

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General NPI Number Information
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    NPI Number           |    1104134279
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    Entity Type          |    Organization 
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    Legal Business Name  |    BETTER YOU, PLLC 
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Dates
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    Enumeration Date     |    09/22/2010
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    Last Update Date     |    09/22/2010
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Provider Practice Location Address
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    Address Line         |    353 NEW SHACKLE ISLAND RD SUITE 142-C
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    City                 |    HENDERSONVILLE
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    State                |    TN
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    Zip                  |    37075-2379
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    Country              |    US
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    Telephone            |    615-826-3142
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    Fax                  |    615-447-1059
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Provider Business Mailing Address
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    Address Line         |    353 NEW SHACKLE ISLAND RD SUITE 142-C
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    City                 |    HENDERSONVILLE
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    State                |    TN
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    Zip                  |    37075-2379
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    Country              |    US
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    Telephone            |    615-826-3142
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    Fax                  |    615-447-1059
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MR. DAVID M SPROUSE 
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    Credential           |    
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    Telephone            |    615-826-3142
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    207QA0505X
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    Taxonomy Name        |    Adult Medicine Physician
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    License Number       |    16926
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    License Number State |    TN
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