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General NPI Number Information
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NPI Number | 1205176872
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Entity Type | Organization
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Legal Business Name | W.I.T.H. PURPOSE MINISTRIES, INC.
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Dates
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Enumeration Date | 02/19/2013
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Last Update Date | 02/19/2013
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Provider Practice Location Address
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Address Line | 915 MAIN ST 202
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City | LYNCHBURG
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State | VA
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Zip | 24504-1628
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Country | US
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Telephone | 434-947-1124
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Fax |
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Provider Business Mailing Address
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Address Line | 915 MAIN ST 202
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City | LYNCHBURG
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State | VA
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Zip | 24504-1628
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Country | US
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Telephone | 434-947-1124
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. DEBRA KEE ALEXANDER
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Credential |
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Telephone | 434-847-1124
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number | 305S00000X
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License Number State | VA
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