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General NPI Number Information
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NPI Number | 1245769777
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Entity Type | Organization
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Legal Business Name | BETTER HEALTH BETTER LIFE LLC
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Dates
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Enumeration Date | 06/08/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 2398 MOUNT VERNON RD STE 150
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City | DUNWOODY
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State | GA
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Zip | 30338-3064
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Country | US
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Telephone | 678-722-8338
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Fax |
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Provider Business Mailing Address
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Address Line | 2398 MOUNT VERNON RD STE 150
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City | DUNWOODY
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State | GA
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Zip | 30338-3064
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Country | US
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Telephone | 678-722-8338
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Fax |
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Authorized Official
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Title or Position | PRATICE ADMINISTRATOR
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Name | LESA R. CREWS
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Credential | MHA
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Telephone | 404-375-1901
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207VG0400X
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Taxonomy Name | Gynecology Physician
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License Number |
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License Number State |
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