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General NPI Number Information
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NPI Number | 1326758582
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Entity Type | Organization
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Legal Business Name | YOU BELONG INC
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Dates
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Enumeration Date | 11/29/2022
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Last Update Date | 11/29/2022
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Provider Practice Location Address
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Address Line | 2960 ALLIED ST STE 2&3
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City | GREEN BAY
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State | WI
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Zip | 54304-5541
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Country | US
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Telephone | 920-740-3739
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Fax |
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Provider Business Mailing Address
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Address Line | 2768 ALLOUEZ AVE
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City | GREEN BAY
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State | WI
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Zip | 54311-6642
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Country | US
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Telephone | 920-740-3739
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Fax |
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Authorized Official
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Title or Position | PASTOR
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Name | GREGORY BEHREND
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Credential |
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Telephone | 920-522-3580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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