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General NPI Number Information
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NPI Number | 1114890472
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Entity Type | Individual
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Provider Name | JOY-PEACE BREATH OF GOD
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Gender | Female
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Dates
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Enumeration Date | 09/24/2025
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Last Update Date | 09/24/2025
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Provider Practice Location Address
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Address Line | 850 HUNGERFORD DR
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City | ROCKVILLE
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State | MD
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Zip | 20850-1718
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Country | US
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Telephone | 240-740-7720
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Fax |
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Provider Business Mailing Address
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Address Line | 7997 PADDOCK CT
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City | SEVERN
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State | MD
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Zip | 21144-1736
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Country | US
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Telephone | 301-996-4045
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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