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General NPI Number Information
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NPI Number | 1487054649
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Entity Type | Organization
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Legal Business Name | GLORY TEMPLE MINISTRIES, INC.
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Dates
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Enumeration Date | 08/25/2014
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Last Update Date | 08/25/2014
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Provider Practice Location Address
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Address Line | 7950 NW 22ND AVE
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City | MIAMI
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State | FL
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Zip | 33147-4964
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Country | US
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Telephone | 305-456-5217
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Fax | 305-351-9002
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Provider Business Mailing Address
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Address Line | 7950 NW 22ND AVE
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City | MIAMI
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State | FL
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Zip | 33147-4964
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Country | US
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Telephone | 305-456-5217
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Fax | 305-351-9002
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Authorized Official
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Title or Position | CEO/PASTOR
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Name | RONAE D CAMBRIDGE
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Credential | LCSW INTERN
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Telephone | 305-456-5217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number |
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License Number State |
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