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General NPI Number Information
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NPI Number | 1376061481
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Entity Type | Organization
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Legal Business Name | BETTER DAYS TO COME VA, LLC
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Dates
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Enumeration Date | 09/08/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 963 E STUART DR
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City | GALAX
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State | VA
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Zip | 24333-2407
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Country | US
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Telephone | 276-235-4041
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Fax |
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Provider Business Mailing Address
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Address Line | 963 E STUART DR
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City | GALAX
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State | VA
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Zip | 24333-2407
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Country | US
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Telephone | 276-235-4041
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | CALVIN GANTT
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Credential |
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Telephone | 276-235-4041
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State |
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