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General NPI Number Information
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NPI Number | 1528105681
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Entity Type | Organization
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Legal Business Name | HARVEST FREEWILL BAPTIST CHILD CARE MINISTRIES, INC.
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Dates
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Enumeration Date | 01/30/2007
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Last Update Date | 09/11/2025
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Provider Practice Location Address
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Address Line | RR 1 BOX 136
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City | DUFFIELD
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State | VA
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Zip | 24244-9622
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Country | US
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Telephone | 276-523-2315
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Fax | 276-523-7015
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Provider Business Mailing Address
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Address Line | PO BOX 259
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City | DUFFIELD
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State | VA
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Zip | 24244-0259
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Country | US
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Telephone | 276-523-2315
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Fax | 276-523-7015
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Authorized Official
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Title or Position | EXEUCTIVE DIRECTOR
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Name | MR. NEWL K. DOTSON
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Credential | M.A.
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Telephone | 276-523-2315
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social 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 | 2084P0804X
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Taxonomy Name | Child & Adolescent Psychiatry Physician
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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 | 103TC2200X
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Taxonomy Name | Clinical Child & Adolescent Psychologist
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License Number |
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License Number State |
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