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General NPI Number Information
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NPI Number | 1417812041
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Entity Type | Organization
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Legal Business Name | HEALTH IN FAITH LLC
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Dates
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Enumeration Date | 12/16/2025
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Last Update Date | 12/16/2025
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Provider Practice Location Address
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Address Line | 9421 ACACIA PSGE
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City | FORT WAYNE
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State | IN
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Zip | 46835-9101
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Country | US
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Telephone | 260-255-4601
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Fax | 260-202-5601
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Provider Business Mailing Address
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Address Line | 9421 ACACIA PSGE
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City | FORT WAYNE
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State | IN
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Zip | 46835-9101
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Country | US
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Telephone | 260-255-4601
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Fax | 260-202-5601
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | BERNADETTE GRAY
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Credential | FNP-BC
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Telephone | 260-255-4601
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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