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General NPI Number Information
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NPI Number | 1225821457
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Entity Type | Organization
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Legal Business Name | OUTREACH MINISTRIES INTERNATIONAL
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 02/11/2026
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Provider Practice Location Address
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Address Line | 710 N SACRAMENTO ST
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City | LODI
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State | CA
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Zip | 95240-1254
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Country | US
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Telephone | 209-642-9684
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Fax |
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Provider Business Mailing Address
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Address Line | 715 S CENTRAL AVE
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City | LODI
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State | CA
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Zip | 95240-4827
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Country | US
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Telephone | 209-224-6096
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Fax |
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Authorized Official
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Title or Position | PASTOR
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Name | JOSON MCEACHRON
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Credential |
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Telephone | 209-327-0669
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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