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General NPI Number Information
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NPI Number | 1487716882
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Entity Type | Organization
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Legal Business Name | BETTER LIFE MEDICAL EQUIPMENT PROVIDER INC.
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 111 LAMON ST SUITE 210
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-4957
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Country | US
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Telephone | 910-486-5574
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Fax | 910-486-5578
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Provider Business Mailing Address
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Address Line | 111 LAMON ST SUITE 210
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City | FAYETTEVILLE
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State | NC
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Zip | 28301-4957
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Country | US
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Telephone | 910-486-5574
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Fax | 910-486-5578
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Authorized Official
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Title or Position | CEO
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Name | MS. CLARRISSA AVERY JACOBS
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Credential |
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Telephone | 910-486-5574
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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