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General NPI Number Information
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NPI Number | 1487891826
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Entity Type | Organization
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Legal Business Name | TODAYS PROMISE, INC
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Dates
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Enumeration Date | 01/07/2009
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Last Update Date | 01/07/2009
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Provider Practice Location Address
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Address Line | 1232 W INDIANTOWN RD SUITE A-106
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City | JUPITER
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State | FL
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Zip | 33458-3905
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Country | US
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Telephone | 561-743-3355
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Fax |
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Provider Business Mailing Address
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Address Line | 1232 W INDIANTOWN RD SUITE A-106
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City | JUPITER
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State | FL
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Zip | 33458-3905
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Country | US
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Telephone | 561-743-3355
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Fax |
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Authorized Official
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Title or Position | PASTOR
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Name | CHARLES E DETTMAN
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Credential |
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Telephone | 561-743-3355
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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