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General NPI Number Information
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NPI Number | 1851735278
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Entity Type | Organization
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Legal Business Name | BELLA VITA SOLUTIONS LLC
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Dates
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Enumeration Date | 04/29/2013
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Last Update Date | 04/29/2013
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Provider Practice Location Address
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Address Line | 135 N STATE ST UNIT 400
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City | ZEELAND
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State | MI
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Zip | 49464-1282
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Country | US
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Telephone | 269-823-9700
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Fax |
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Provider Business Mailing Address
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Address Line | 135 N STATE ST UNIT 400
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City | ZEELAND
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State | MI
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Zip | 49464-1282
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Country | US
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Telephone | 269-823-9700
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | AMY RENDA
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Credential |
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Telephone | 269-823-9700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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