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General NPI Number Information
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NPI Number | 1285214403
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Entity Type | Organization
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Legal Business Name | BEST LIFE HEALTHCARE, PLLC
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Dates
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Enumeration Date | 04/12/2021
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Last Update Date | 04/12/2021
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Provider Practice Location Address
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Address Line | 613 SIRE AVE
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City | MOUNT JULIET
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State | TN
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Zip | 37122-4640
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Country | US
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Telephone | 205-253-9013
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Fax |
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Provider Business Mailing Address
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Address Line | 11205 LEBANON RD STE 538
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City | MOUNT JULIET
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State | TN
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Zip | 37122-5545
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Country | US
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Telephone | 205-253-9013
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MRS. LATOYA DENISE HOPKINS
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Credential | FNP-C
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Telephone | 205-253-9013
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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