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General NPI Number Information
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NPI Number | 1609729268
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Entity Type | Organization
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Legal Business Name | BETHANY LIFE LLC
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Dates
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Enumeration Date | 02/16/2026
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Last Update Date | 02/16/2026
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Provider Practice Location Address
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Address Line | 3380 SAWTOOTH DR
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City | TALLAHASSEE
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State | FL
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Zip | 32303-7368
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Country | US
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Telephone | 850-999-9695
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 7181
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City | TALLAHASSEE
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State | FL
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Zip | 32314-7181
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Country | US
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Telephone | 850-999-9695
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | MONICA TAINO
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Credential |
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Telephone | 850-999-9695
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State |
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