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General NPI Number Information
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NPI Number | 1982193215
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Entity Type | Organization
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Legal Business Name | A BETTER LIFE TREATMENT INC.
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Dates
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Enumeration Date | 05/02/2018
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Last Update Date | 05/02/2018
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Provider Practice Location Address
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Address Line | 1755 THE EXCHANGE SE STE 365
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City | ATLANTA
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State | GA
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Zip | 30339-7404
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Country | US
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Telephone | 404-594-1770
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Fax | 770-648-5797
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Provider Business Mailing Address
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Address Line | 1755 THE EXCHANGE SE STE 365
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City | ATLANTA
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State | GA
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Zip | 30339-7404
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Country | US
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Telephone | 404-594-1770
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Fax | 770-648-5797
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Authorized Official
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Title or Position | COO
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Name | UFUOMA OSAETIN OYIBO
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Credential |
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Telephone | 404-594-1770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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License Number |
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License Number State | GA
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