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General NPI Number Information
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NPI Number | 1366268286
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Entity Type | Organization
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Legal Business Name | A JOURNEY WITH FAITH LLC
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Dates
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Enumeration Date | 11/25/2024
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Last Update Date | 11/25/2024
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Provider Practice Location Address
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Address Line | 1941 RIVIERA ST
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-4342
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Country | US
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Telephone | 317-730-6311
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Fax | --
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Provider Business Mailing Address
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Address Line | 1941 RIVIERA ST # NA
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City | INDIANAPOLIS
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State | IN
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Zip | 46260-4342
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Country | US
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Telephone | 317-730-6311
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Fax | --
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Authorized Official
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Title or Position | MANAGER
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Name | KENNEDY A CARTER
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Credential | CO OWNER
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Telephone | 317-730-6311
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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