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General NPI Number Information
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NPI Number | 1114369121
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Entity Type | Organization
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Legal Business Name | TEMPLE MINISTRIES INC.
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Dates
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Enumeration Date | 07/19/2013
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Last Update Date | 07/19/2013
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Provider Practice Location Address
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Address Line | 2453 MARYLAND AVE
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City | BALTIMORE
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State | MD
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Zip | 21218-5018
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Country | US
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Telephone | 410-889-0011
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Fax | 410-889-0046
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Provider Business Mailing Address
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Address Line | 2453 MARYLAND AVE
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City | BALTIMORE
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State | MD
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Zip | 21218-5018
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Country | US
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Telephone | 410-889-0011
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Fax | 410-889-0046
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Authorized Official
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Title or Position | LCPC
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Name | AMY SYKES
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Credential | LCPC
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Telephone | 410-889-0011
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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 |
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