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General NPI Number Information
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NPI Number | 1245777838
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Entity Type | Organization
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Legal Business Name | A BETTER HOME LIFE, LLC
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Dates
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Enumeration Date | 01/20/2017
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Last Update Date | 02/17/2017
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Provider Practice Location Address
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Address Line | 11345 CADIGAN DR
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City | SAINT LOUIS
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State | MO
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Zip | 63138-2325
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Country | US
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Telephone | 314-458-6352
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Fax | 314-325-5358
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Provider Business Mailing Address
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Address Line | 11345 CADIGAN DR
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City | SAINT LOUIS
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State | MO
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Zip | 63138
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Country | US
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Telephone | 314-458-6352
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | MS. MINERVA ANN COOK
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Credential |
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Telephone | 314-741-2199
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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