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General NPI Number Information
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NPI Number | 1306793476
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Entity Type | Organization
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Legal Business Name | JESUS WORSHIP MINISTRY
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Dates
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Enumeration Date | 03/16/2026
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Last Update Date | 03/16/2026
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Provider Practice Location Address
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Address Line | 9065 BEECH DALY RD
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City | REDFORD
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State | MI
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Zip | 48239-1705
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Country | US
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Telephone | 832-306-5767
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Fax |
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Provider Business Mailing Address
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Address Line | 9065 BEECH DALY RD
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City | REDFORD
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State | MI
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Zip | 48239-1705
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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 | REVEREND
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Name | JOHN UGOCHUKWU
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Credential |
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Telephone | 832-306-5767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282J00000X
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Taxonomy Name | Religious Nonmedical Health Care Institution
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License Number |
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License Number State |
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