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General NPI Number Information
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NPI Number | 1265815948
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Entity Type | Organization
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Legal Business Name | RIGHT DIRECTION CHRISTIAN CENTER, INC.
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Dates
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Enumeration Date | 06/30/2015
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Last Update Date | 06/30/2015
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Provider Practice Location Address
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Address Line | 820 HILLCREST ST
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5020
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Country | US
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Telephone | 850-212-2061
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Fax | 850-270-2219
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Provider Business Mailing Address
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Address Line | 820 HILLCREST ST
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City | TALLAHASSEE
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State | FL
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Zip | 32308-5020
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Country | US
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Telephone | 850-212-2061
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Fax | 850-270-2219
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Authorized Official
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Title or Position | OWNER
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Name | MR. GENERAL BRYANT JR.
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Credential | MSW
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Telephone | 850-212-2061
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 009470500
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License Number State | FL
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