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General NPI Number Information
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NPI Number | 1205658168
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Entity Type | Organization
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Legal Business Name | BETTER HEALTH & WELLNESS CLINIC LLC
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 7180 PIPPIN RD STE B
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City | CINCINNATI
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State | OH
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Zip | 45239-4605
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Country | US
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Telephone | 502-855-0193
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Fax |
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Provider Business Mailing Address
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Address Line | 15504 CRYSTAL VALLEY WAY
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City | LOUISVILLE
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State | KY
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Zip | 40299-6904
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Country | US
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Telephone | 502-855-0193
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DEV SUBEDI
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Credential |
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Telephone | 502-855-0193
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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