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General NPI Number Information
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NPI Number | 1487084877
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Entity Type | Organization
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Legal Business Name | A BETTER CHOICE HEALTH CARE
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Dates
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Enumeration Date | 11/20/2013
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Last Update Date | 11/20/2013
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Provider Practice Location Address
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Address Line | 5309 LAVA ROCK DR
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City | FORT WORTH
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State | TX
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Zip | 76179-7377
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Country | US
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Telephone | 682-201-5162
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Fax | 817-744-7728
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Provider Business Mailing Address
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Address Line | 5309 LAVA ROCK DR
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City | FORT WORTH
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State | TX
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Zip | 76179-7377
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Country | US
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Telephone | 817-744-7728
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Fax | 817-744-7728
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Authorized Official
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Title or Position | CHIEF NURSING OFFICER
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Name | K'EISHA LYNNETTE NELSON
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Credential | RN
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Telephone | 682-201-5162
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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Taxonomy #3
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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Taxonomy #4
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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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Taxonomy #5
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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