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General NPI Number Information
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NPI Number | 1497354526
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Entity Type | Organization
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Legal Business Name | BETTER DAYS RECREATION THERAPY
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Dates
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Enumeration Date | 10/20/2020
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Last Update Date | 05/24/2021
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Provider Practice Location Address
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Address Line | 183 SEABREEZE CT
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City | NEWNAN
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State | GA
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Zip | 30265-5572
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Country | US
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Telephone | 317-847-8836
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Fax |
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Provider Business Mailing Address
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Address Line | 183 SEABREEZE CT
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City | NEWNAN
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State | GA
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Zip | 30265-5572
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Country | US
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Telephone | 317-847-8836
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Fax |
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Authorized Official
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Title or Position | I.T. COORDINATOR
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Name | JAMAL LEONARD
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Credential |
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Telephone | 317-847-8836
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2081S0010X
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Taxonomy Name | Sports Medicine (Physical Medicine & Rehabilitation) Physician
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License Number |
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License Number State |
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