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General NPI Number Information
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NPI Number | 1750911590
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Entity Type | Organization
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Legal Business Name | CENTER FOR BETTER LIVING, INC.
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Dates
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Enumeration Date | 01/21/2020
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Last Update Date | 01/21/2020
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Provider Practice Location Address
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Address Line | 975 HUSTONVILLE RD STE 7
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City | DANVILLE
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State | KY
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Zip | 40422-2165
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Country | US
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Telephone | 859-239-9598
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1764
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City | DANVILLE
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State | KY
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Zip | 40423-1764
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Country | US
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Telephone | 859-324-0032
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATIVE ASSISTANT
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Name | CRISTI MARIE MARTIN
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Credential |
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Telephone | 859-324-0032
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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