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General NPI Number Information
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NPI Number | 1164326138
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Entity Type | Organization
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Legal Business Name | BESTIE LIFE LLC
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Dates
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Enumeration Date | 10/05/2026
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Last Update Date | 10/05/2026
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Provider Practice Location Address
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Address Line | 1017 GENERALS HWY
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City | CROWNSVILLE
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State | MD
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Zip | 21032-1421
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Country | US
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Telephone | 410-923-2586
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Fax |
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Provider Business Mailing Address
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Address Line | 737 E COLLEGE PKWY
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City | ANNAPOLIS
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State | MD
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Zip | 21409-5689
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Country | US
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Telephone | 410-224-4500
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GENA SCHULTHEIS
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Credential | DDS
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Telephone | 410-905-8738
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | NULL
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