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General NPI Number Information
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NPI Number | 1285397869
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Entity Type | Organization
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Legal Business Name | BETTER MINDS BETTER COMMUNITIES, INC
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Dates
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Enumeration Date | 10/20/2021
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Last Update Date | 11/09/2021
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Provider Practice Location Address
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Address Line | 2725 S JONES BLVD STE 101
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City | LAS VEGAS
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State | NV
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Zip | 89146-5605
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Country | US
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Telephone | 702-384-2238
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Fax |
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Provider Business Mailing Address
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Address Line | 4900 RICHMOND SQ STE 102
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City | OKLAHOMA CITY
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State | OK
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Zip | 73118-2042
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Country | US
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Telephone | 405-840-1999
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | DAVID LINDEN
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Credential | MD
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Telephone | 702-384-2238
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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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 | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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