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General NPI Number Information
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NPI Number | 1699081984
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Entity Type | Organization
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Legal Business Name | A BETTER LIFE BEHAVIORAL HEALTH SERVICES, INC.
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Dates
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Enumeration Date | 08/24/2010
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Last Update Date | 11/12/2010
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Provider Practice Location Address
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Address Line | 4696 W. OVERLAND RD. 224
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City | BOISE
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State | ID
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Zip | 83705-8103
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Country | US
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Telephone | 208-515-1660
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Fax |
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Provider Business Mailing Address
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Address Line | 4696 W OVERLAND RD 224
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City | BOISE
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State | ID
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Zip | 83705-2845
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. SARAH STEWART
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Credential | BS
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Telephone | 208-515-1660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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