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General NPI Number Information
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NPI Number | 1679104467
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Entity Type | Organization
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Legal Business Name | BETTER LIFE HEART THERAPY INC
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Dates
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Enumeration Date | 01/30/2020
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Last Update Date | 01/30/2020
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Provider Practice Location Address
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Address Line | 7 MEDICAL LN STE C
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City | CONWAY
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State | AR
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Zip | 72034-4918
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Country | US
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Telephone | 501-428-6693
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Fax |
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Provider Business Mailing Address
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Address Line | 13 WOODRUFF LN
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City | CONWAY
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State | AR
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Zip | 72032-9541
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Country | US
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Telephone | 501-428-6693
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CONNIE KUBLI
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Credential |
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Telephone | 501-428-6693
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0404X
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Taxonomy Name | Cardiac Rehabilitation Clinic/Center
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License Number |
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License Number State |
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