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General NPI Number Information
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NPI Number | 1144180985
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Entity Type | Organization
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Legal Business Name | LIVELY LIVE BETTER
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Dates
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Enumeration Date | 11/14/2025
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Last Update Date | 11/14/2025
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Provider Practice Location Address
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Address Line | 949 ORIOLE DR SW
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City | ATLANTA
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State | GA
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Zip | 30311-2422
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Country | US
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Telephone | 919-259-0375
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Fax |
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Provider Business Mailing Address
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Address Line | 949 ORIOLE DR SW
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City | ATLANTA
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State | GA
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Zip | 30311-2422
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Country | US
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Telephone | 919-259-0375
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DR. LORI DUCKETT
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Credential | MD
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Telephone | 919-259-0375
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number |
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License Number State |
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