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General NPI Number Information
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NPI Number | 1750123287
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Entity Type | Organization
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Legal Business Name | BETTER LIFE CLINICIANS LLC
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Dates
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Enumeration Date | 06/06/2024
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Last Update Date | 06/06/2024
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Provider Practice Location Address
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Address Line | 300 DELAWARE AVE STE 210-598
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City | WILMINGTON
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State | DE
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Zip | 19801-1607
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Country | US
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Telephone | 302-330-5950
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Fax | 302-702-0148
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Provider Business Mailing Address
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Address Line | 5840 RED BUG LAKE RD UNIT 1711
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City | WINTER SPRINGS
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State | FL
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Zip | 32708-5011
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Country | US
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Telephone | 302-330-5950
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Fax |
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Authorized Official
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Title or Position | CHIEF MEDICAL OFFICER
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Name | DAVID G JANARIOUS
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Credential | MD
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Telephone | 302-330-5950
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207QB0002X
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Taxonomy Name | Obesity Medicine (Family Medicine) Physician
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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 | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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