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General NPI Number Information
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NPI Number | 1336828656
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Entity Type | Organization
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Legal Business Name | LIVEBETTER AT HOME LLC
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Dates
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Enumeration Date | 07/13/2023
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Last Update Date | 07/13/2023
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Provider Practice Location Address
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Address Line | 301 LILAC DR STE 110
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City | EDMOND
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State | OK
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Zip | 73034-7297
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Country | US
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Telephone | 405-461-6175
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Fax | 405-461-6152
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Provider Business Mailing Address
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Address Line | 301 LILAC DR STE 110
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City | EDMOND
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State | OK
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Zip | 73034-7297
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Country | US
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Telephone | 405-461-6175
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Fax | 405-461-6152
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Authorized Official
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Title or Position | OWNER / CEO
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Name | JEREMY ALLEN
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Credential |
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Telephone | 405-461-6175
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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