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General NPI Number Information
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NPI Number | 1699182519
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Entity Type | Organization
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Legal Business Name | BETTER WORLD DEVELOPMENT LLC
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Dates
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Enumeration Date | 07/14/2014
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Last Update Date | 03/23/2018
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Provider Practice Location Address
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Address Line | 4001 GEIST RD STE 12
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City | FAIRBANKS
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State | AK
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Zip | 99709-3569
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Country | US
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Telephone | 907-374-1981
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Fax | 907-374-1983
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Provider Business Mailing Address
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Address Line | 4001 GEIST RD STE 12
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City | FAIRBANKS
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State | AK
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Zip | 99709-3569
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Country | US
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Telephone | 907-374-1981
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Fax | 907-374-1983
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Authorized Official
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Title or Position | OFFICE MANAGER
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Name | SONYA BOWERY
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Credential |
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Telephone | 907-374-1981
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 111N00000X
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Taxonomy Name | Chiropractor
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License Number | 1006903
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License Number State | AK
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