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General NPI Number Information
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NPI Number | 1487982864
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Entity Type | Organization
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Legal Business Name | NOW FAITH THAT WORKS CHRISTIAN CHURCH
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Dates
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Enumeration Date | 11/24/2009
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Last Update Date | 02/07/2014
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Provider Practice Location Address
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Address Line | 5923 CHURCH RD
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City | PETERSBURG
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State | VA
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Zip | 23803-4534
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Country | US
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Telephone | 804-957-6389
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Fax | 804-957-6389
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Provider Business Mailing Address
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Address Line | PO BOX 3844
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City | CHESTER
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State | VA
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Zip | 23831-8470
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Country | US
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Telephone | 804-957-6389
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Fax | 804-957-6389
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Authorized Official
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Title or Position | ORDAINED PASTOR
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Name | MR. KEITH B JONES
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Credential | PASTOR
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Telephone | 804-957-6389
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 0904003479
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number |
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License Number State |
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