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General NPI Number Information
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NPI Number | 1427701622
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Entity Type | Organization
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Legal Business Name | THE CHURCH OF TRUTH, INCORPORATED
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Dates
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Enumeration Date | 01/28/2022
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Last Update Date | 01/28/2022
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Provider Practice Location Address
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Address Line | 42 N SUTTER ST STE 216
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City | STOCKTON
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State | CA
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Zip | 95202-2900
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Country | US
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Telephone | 209-718-9828
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1072
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City | STOCKTON
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State | CA
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Zip | 95201-1072
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Country | US
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Telephone | 209-718-9828
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | RACHEL CHEVONNE THOMPSON
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Credential | ACSW
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Telephone | 209-718-9828
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041S0200X
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Taxonomy Name | School Social Worker
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 103TC0700X
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Taxonomy Name | Clinical Psychologist
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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