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General NPI Number Information
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NPI Number | 1710721519
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Entity Type | Organization
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Legal Business Name | BUILDING BETTER LIVES
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Dates
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Enumeration Date | 06/25/2024
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Last Update Date | 06/25/2024
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Provider Practice Location Address
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Address Line | 546 W GAINES ST
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City | MONTICELLO
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State | AR
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Zip | 71655-4638
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Country | US
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Telephone | 870-367-9434
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Fax | 870-367-9476
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Provider Business Mailing Address
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Address Line | PO BOX 939
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City | MONTICELLO
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State | AR
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Zip | 71657-0939
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Country | US
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Telephone | 870-367-9434
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Fax | 870-367-9476
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Authorized Official
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Title or Position | OWNER
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Name | TONI MOORE
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Credential |
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Telephone | 870-224-5212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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