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General NPI Number Information
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NPI Number | 1376864645
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Entity Type | Organization
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Legal Business Name | FAITH AND JUSTICE CENTER, INC.
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Dates
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Enumeration Date | 06/21/2010
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Last Update Date | 06/21/2010
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Provider Practice Location Address
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Address Line | 205 7TH ST NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-3128
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Country | US
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Telephone | 505-243-5888
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Fax | 505-243-5071
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Provider Business Mailing Address
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Address Line | 205 7TH ST NW
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-3128
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Country | US
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Telephone | 505-243-5888
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Fax | 505-243-5071
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Authorized Official
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Title or Position | FLOOR SUPERVISOR
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Name | MS. BARBIE A. MONTOYA
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Credential |
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Telephone | 505-243-8379
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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