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General NPI Number Information
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NPI Number | 1275175382
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Entity Type | Organization
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Legal Business Name | WORKFORCE CHAPLAINCY
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Dates
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Enumeration Date | 10/09/2019
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Last Update Date | 10/09/2019
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Provider Practice Location Address
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Address Line | 4000 W ROBINWOOD CT
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City | VISALIA
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State | CA
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Zip | 93291-5554
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Country | US
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Telephone | 559-300-3200
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Fax |
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Provider Business Mailing Address
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Address Line | 4000 W ROBINWOOD CT
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City | VISALIA
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State | CA
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Zip | 93291-5554
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Country | US
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Telephone | 559-300-3200
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | DR. PAUL D GENDRON
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Credential | M.DIV, D.MIN
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Telephone | 559-300-3200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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