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General NPI Number Information
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NPI Number | 1497206882
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Entity Type | Organization
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Legal Business Name | BATTLEFIELD MINISTRIES, INC.
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Dates
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Enumeration Date | 10/20/2016
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Last Update Date | 10/20/2016
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Provider Practice Location Address
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Address Line | 5 E 6TH AVE
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City | ROME
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State | GA
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Zip | 30161-6001
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Country | US
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Telephone | 706-235-9350
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1700
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City | ROME
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State | GA
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Zip | 30162-1700
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Country | US
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Telephone | 706-235-9350
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Fax | 770-936-1955
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Authorized Official
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Title or Position | CEO, FOUNDER
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Name | NATHAN JETER PHILLIPS
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Credential | LPC
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Telephone | 706-235-9350
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | LPC002414
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License Number State | GA
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