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General NPI Number Information
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NPI Number | 1023356284
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Entity Type | Organization
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Legal Business Name | REW MINISTERIES INC
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Dates
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Enumeration Date | 01/23/2013
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Last Update Date | 01/23/2013
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Provider Practice Location Address
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Address Line | 2450 REVERE ST
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City | NORTH LAS VEGAS
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State | NV
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Zip | 89030-3824
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Country | US
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Telephone | 702-875-5957
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Fax |
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Provider Business Mailing Address
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Address Line | 5202 CLOUDS REST AVE.
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City | LAS VEGAS
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State | NV
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Zip | 89108
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Country | US
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Telephone | 702-875-5957
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. RALPH E WILLIAMSON
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Credential | PHD
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Telephone | 702-785-5957
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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 | NV
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