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General NPI Number Information
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NPI Number | 1457294829
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Entity Type | Organization
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Legal Business Name | NOFAME NATIONAL ORGANIZATION FOR ADVANCING MINORITY EQUALITY
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Dates
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Enumeration Date | 04/10/2026
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Last Update Date | 04/10/2026
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Provider Practice Location Address
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Address Line | 106 SPARROW CIR
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City | BLACKVILLE
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State | SC
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Zip | 29817-3122
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Country | US
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Telephone | 803-522-3306
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Fax |
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Provider Business Mailing Address
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Address Line | 106 SPARROW CIR
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City | BLACKVILLE
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State | SC
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Zip | 29817-3122
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Country | US
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Telephone | 803-522-3306
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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 | MR. TIMOTHY GARVIN
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Credential |
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Telephone | 803-522-3306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health 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 | 405300000X
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Taxonomy Name | Prevention Professional
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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 | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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