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General NPI Number Information
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NPI Number | 1013384650
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Entity Type | Organization
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Legal Business Name | CHURCH PARISH NURSE MINISTRIES
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Dates
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Enumeration Date | 08/31/2015
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Last Update Date | 11/17/2015
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Provider Practice Location Address
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Address Line | 1376 TURNBULL BAY RD SUITE 403
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32168-6076
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Country | US
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Telephone | 386-290-2216
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Fax | 386-427-6270
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Provider Business Mailing Address
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Address Line | 1376 TURNBULL BAY RD SUITE 403
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City | NEW SMYRNA BEACH
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State | FL
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Zip | 32168-6076
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Country | US
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Telephone | 386-290-2216
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Fax | 386-427-6270
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. FANNIE M HUDSON
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Credential |
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Telephone | 386-290-2216
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State | FL
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Taxonomy #2
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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 | FL
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