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General NPI Number Information
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NPI Number | 1104157387
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Entity Type | Organization
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Legal Business Name | GOING PUBLIC MINISTRIES
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Dates
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Enumeration Date | 01/27/2010
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Last Update Date | 01/31/2013
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Provider Practice Location Address
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Address Line | 4171 CRESCENT DR SUITE 101A
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City | SAINT LOUIS
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State | MO
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Zip | 63129-3645
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Country | US
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Telephone | 314-629-7191
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Fax |
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Provider Business Mailing Address
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Address Line | 315 LEMAY FERRY RD SUITE 132
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City | SAINT LOUIS
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State | MO
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Zip | 63125-1501
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Country | US
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Telephone | 314-637-7443
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Fax | 866-695-0277
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOSHUA D KURTH
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Credential | LPC
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Telephone | 314-629-7191
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number |
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License Number State |
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