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NPI 1497329031

NPI 1497329031 : BETTER SELF MEDICAL : CUTLER BAY, FL

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General NPI Number Information
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    NPI Number           |    1497329031
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    Entity Type          |    Organization 
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    Legal Business Name  |    BETTER SELF MEDICAL 
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Dates
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    Enumeration Date     |    05/18/2021
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    Last Update Date     |    05/18/2021
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Provider Practice Location Address
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    Address Line         |    10380 SW 216TH ST APT 302 
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    City                 |    CUTLER BAY
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    State                |    FL
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    Zip                  |    33190-1702
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    Country              |    US
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    Telephone            |    305-504-4859
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    10380 SW 216TH ST APT 302 
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    City                 |    CUTLER BAY
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    State                |    FL
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    Zip                  |    33190-1702
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    Country              |    US
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    Telephone            |    305-504-4859
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    Fax                  |    
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Authorized Official
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    Title or Position    |    CEO
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    Name                 |     ELIZABETH  ALCANTARA 
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    Credential           |    
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    Telephone            |    305-504-4859
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251S00000X
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    Taxonomy Name        |    Community/Behavioral Health 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        |    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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