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General NPI Number Information
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NPI Number | 1194137372
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Entity Type | Organization
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Legal Business Name | TOUCHED BY FAITH, INC.
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Dates
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Enumeration Date | 05/22/2014
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Last Update Date | 05/22/2014
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Provider Practice Location Address
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Address Line | 351 15TH ST N
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City | ST PETERSBURG
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State | FL
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Zip | 33705-2015
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Country | US
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Telephone | 727-289-1916
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Fax | 727-202-8933
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Provider Business Mailing Address
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Address Line | 1239 4TH ST S
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City | SAINT PETERSBURG
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State | FL
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Zip | 33701-5223
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Country | US
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Telephone | 727-202-8932
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Fax | 727-202-8933
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Authorized Official
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Title or Position | OWNER/DIRECTOR
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Name | MR. MARCUS ANDERSON
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Credential |
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Telephone | 727-202-8932
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL 11520
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License Number State | FL
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