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General NPI Number Information
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NPI Number | 1609482397
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Entity Type | Organization
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Legal Business Name | A BETTER LIFE TOGETHER, INC
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Dates
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Enumeration Date | 09/18/2020
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Last Update Date | 09/18/2020
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Provider Practice Location Address
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Address Line | 3343 WOODSHADE DRIVE
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City | LOGANVILLE
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State | GA
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Zip | 30052
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Country | US
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Telephone | 470-568-9151
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Fax |
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Provider Business Mailing Address
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Address Line | 8825 AERO DR STE 215
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City | SAN DIEGO
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State | CA
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Zip | 92123-2268
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Country | US
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Telephone | 619-741-1548
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | KIM MILLS
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Credential |
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Telephone | 858-583-1650
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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