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NPI 1720329824

NPI 1720329824 : A BETTER YOU, LLC : ODENTON, MD

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General NPI Number Information
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    NPI Number           |    1720329824
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    Entity Type          |    Organization 
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    Legal Business Name  |    A BETTER YOU, LLC 
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Dates
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    Enumeration Date     |    03/14/2013
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    Last Update Date     |    05/18/2013
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Provider Practice Location Address
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    Address Line         |    1114 TOWN CENTER BLVD SUITE G
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    City                 |    ODENTON
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    State                |    MD
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    Zip                  |    21113
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    Country              |    US
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    Telephone            |    301-832-2455
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1222 
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    City                 |    LAUREL
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    State                |    MD
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    Zip                  |    20725-1222
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    Country              |    US
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    Telephone            |    301-832-2455
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    Fax                  |    
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Authorized Official
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    Title or Position    |    PHYSICIAN
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    Name                 |    DR. KAREN  CLARKE-BENNETT 
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    Credential           |    D.O.
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    Telephone            |    301-832-2455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    261QH0100X
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    Taxonomy Name        |    Health Service Clinic/Center
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    License Number       |    H0066498
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    License Number State |    MD
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