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General NPI Number Information
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NPI Number | 1669899308
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Entity Type | Organization
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Legal Business Name | BETTER HEALTH AT HOME MEDICAL CONCIERGE SERVICES, LLC
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Dates
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Enumeration Date | 03/19/2014
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Last Update Date | 03/19/2014
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Provider Practice Location Address
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Address Line | 3045 ISOLA BELLA BLVD
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City | MOUNT DORA
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State | FL
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Zip | 32757-6524
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Country | US
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Telephone | 352-729-6084
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Fax | 352-729-6248
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Provider Business Mailing Address
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Address Line | 3045 ISOLA BELLA BLVD
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City | MOUNT DORA
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State | FL
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Zip | 32757-6524
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Country | US
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Telephone | 352-729-6084
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Fax | 352-729-6248
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Authorized Official
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Title or Position | FAMILY NURSE PRACTITIONER
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Name | MRS. EMMA ZIANABU SANDI-MORRIS
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Credential | FNP-C
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Telephone | 585-317-3914
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9356773
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License Number State | FL
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