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General NPI Number Information
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NPI Number | 1679134324
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Entity Type | Organization
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Legal Business Name | BEST LIFE SENIOR CARE
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Dates
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Enumeration Date | 06/24/2019
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Last Update Date | 06/24/2019
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Provider Practice Location Address
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Address Line | 4804 ALLEN ST
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City | BIRMINGHAM
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State | AL
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Zip | 35207-1210
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Country | US
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Telephone | 205-910-0136
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1014
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City | FULTONDALE
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State | AL
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Zip | 35068-3014
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Country | US
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Telephone | 205-222-3032
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. ERICA STOREY
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Credential |
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Telephone | 205-222-3032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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