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General NPI Number Information
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NPI Number | 1295321925
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Entity Type | Organization
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Legal Business Name | TRANSFORMATIONAL MINISTRIES
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Dates
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Enumeration Date | 12/16/2020
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Last Update Date | 12/16/2020
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Provider Practice Location Address
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Address Line | 6201 PACIFIC AVE STE B10
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City | TACOMA
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State | WA
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Zip | 98408-7423
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Country | US
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Telephone | 253-468-1672
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Fax |
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Provider Business Mailing Address
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Address Line | 6201 PACIFIC AVE STE B10
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City | TACOMA
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State | WA
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Zip | 98408-7423
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Country | US
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Telephone |
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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 | KIMBERLY SHERWOOD
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Credential |
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Telephone | 253-468-1672
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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