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General NPI Number Information
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NPI Number | 1235552647
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Entity Type | Organization
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Legal Business Name | FIRST BAPTIST CHURCH OF LEXINGTON
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Dates
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Enumeration Date | 01/22/2014
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Last Update Date | 01/22/2014
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Provider Practice Location Address
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Address Line | 415 BARR RD
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City | LEXINGTON
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State | SC
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Zip | 29072-2371
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Country | US
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Telephone | 803-957-0686
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Fax |
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Provider Business Mailing Address
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Address Line | 415 BARR RD
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City | LEXINGTON
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State | SC
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Zip | 29072-2371
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Country | US
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Telephone | 803-957-0686
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Fax |
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Authorized Official
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Title or Position | COUNSELING PASTOR
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Name | MR. PAUL BISHOP
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Credential | LPC
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Telephone | 803-957-0686
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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 |
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License Number State |
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