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General NPI Number Information
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NPI Number | 1386161081
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Entity Type | Organization
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Legal Business Name | FAITH WITH WORKS LLC
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Dates
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Enumeration Date | 08/24/2017
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Last Update Date | 02/18/2022
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Provider Practice Location Address
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Address Line | 8488 GEORGIA ST STE D
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City | MERRILLVILLE
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State | IN
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Zip | 46410-6940
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Country | US
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Telephone | 219-321-9130
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Fax | 219-321-9133
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Provider Business Mailing Address
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Address Line | 8488 GEORGIA ST STE D
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City | MERRILLVILLE
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State | IN
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Zip | 46410-6940
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Country | US
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Telephone | 219-321-9130
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Fax | 219-321-9133
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Authorized Official
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Title or Position | OWNER/MANAGER
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Name | BRIDGETTE LEIGH KNIGHT
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Credential |
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Telephone | 219-315-8561
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 170140141
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License Number State | IN
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