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General NPI Number Information
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NPI Number | 1245764323
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Entity Type | Organization
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Legal Business Name | BETTER LIFE HOME CARE INC
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Dates
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Enumeration Date | 04/17/2017
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Last Update Date | 04/17/2017
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Provider Practice Location Address
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Address Line | 1505 ORANGE AVE
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City | FORT PIERCE
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State | FL
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Zip | 34950-6814
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Country | US
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Telephone | 772-465-5220
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Fax |
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Provider Business Mailing Address
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Address Line | 1505 ORANGE AVE
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City | FORT PIERCE
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State | FL
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Zip | 34950-6814
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Country | US
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Telephone | 772-465-5220
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ANTOINETTE NICOLE JOSUE
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Credential |
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Telephone | 772-465-5220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 30211844
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License Number State | FL
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