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General NPI Number Information
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NPI Number | 1003319112
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Entity Type | Organization
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Legal Business Name | ALL GOD'S CHILDREN, LLC
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Dates
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Enumeration Date | 03/15/2018
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Last Update Date | 03/15/2018
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Provider Practice Location Address
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Address Line | 7102 SALEM CT
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City | ROWLETT
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State | TX
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Zip | 75089-3968
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Country | US
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Telephone | 469-826-6510
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Fax |
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Provider Business Mailing Address
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Address Line | 7102 SALEM CT
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City | ROWLETT
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State | TX
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Zip | 75089-3968
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Country | US
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Telephone | 469-826-6510
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | DEBIE JOYCE CHERIAN
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Credential | CPNP
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Telephone | 469-826-6510
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0200X
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Taxonomy Name | Pediatric Nurse Practitioner
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License Number | 640999
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License Number State | TX
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