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General NPI Number Information
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NPI Number | 1073319752
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Entity Type | Organization
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Legal Business Name | DEFENDERS OF RESILIENCE MILITARY MINISTRY
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Dates
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Enumeration Date | 02/22/2025
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Last Update Date | 02/22/2025
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Provider Practice Location Address
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Address Line | 154 BEACH RD
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City | HAMPTON
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State | VA
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Zip | 23664-2043
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Country | US
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Telephone | 469-463-0365
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Fax |
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Provider Business Mailing Address
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Address Line | 154 BEACH RD
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City | HAMPTON
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State | VA
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Zip | 23664-2043
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Country | US
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Telephone | 469-463-0365
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Fax |
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Authorized Official
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Title or Position | FOUNDER/ EXECUTIVE DIRECTOR
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Name | ELEANOR FINNEY
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Credential |
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Telephone | 469-463-0365
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 405300000X
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Taxonomy Name | Prevention Professional
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License Number |
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License Number State |
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Taxonomy #3
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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 |
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