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General NPI Number Information
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NPI Number | 1538945027
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Entity Type | Organization
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Legal Business Name | BETTERMINT LLC
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Dates
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Enumeration Date | 08/31/2023
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Last Update Date | 10/08/2024
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Provider Practice Location Address
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Address Line | 919 N WEBER ST
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City | COLORADO SPRINGS
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State | CO
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Zip | 80903-2976
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Country | US
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Telephone | 719-413-6930
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Fax | 719-247-3940
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Provider Business Mailing Address
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Address Line | 5855 BOURKE DR
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City | COLORADO SPRINGS
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State | CO
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Zip | 80919-2448
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Country | US
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Telephone | 414-248-1342
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Fax |
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Authorized Official
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Title or Position | CLINICAL PSYCHOLOGIST
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Name | DR. BRIAN W SCHNEIDER
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Credential | PHD
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Telephone | 414-248-1342
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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