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General NPI Number Information
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NPI Number | 1992469704
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Entity Type | Organization
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Legal Business Name | A BETTER WAY LLC
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Dates
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Enumeration Date | 10/27/2021
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Last Update Date | 05/14/2022
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Provider Practice Location Address
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Address Line | 11175 PR 900 W
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City | POLAND
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State | IN
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Zip | 47868
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Country | US
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Telephone | 219-613-8620
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Fax |
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Provider Business Mailing Address
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Address Line | 1455 RIVER RD
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City | SPENCER
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State | IN
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Zip | 47460-6605
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Country | US
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Telephone | 812-369-9875
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Fax |
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Authorized Official
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Title or Position | MANAGER
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Name | NICHOLAS PECENICA
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Credential |
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Telephone | 219-613-8620
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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