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General NPI Number Information
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NPI Number | 1528709086
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Entity Type | Organization
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Legal Business Name | FAMILY ASSISTANCE MINISTRIES
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Dates
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Enumeration Date | 04/06/2022
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Last Update Date | 04/06/2022
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Provider Practice Location Address
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Address Line | 1030 CALLE NEGOCIO
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City | SAN CLEMENTE
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State | CA
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Zip | 92673-6203
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Country | US
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Telephone | 949-492-8477
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Fax | 949-492-8081
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Provider Business Mailing Address
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Address Line | 1030 CALLE NEGOCIO
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City | SAN CLEMENTE
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State | CA
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Zip | 92673-6203
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Country | US
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Telephone | 949-492-8477
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Fax | 949-492-8081
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. ELIZABETH ANDRADE
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Credential |
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Telephone | 949-492-8477
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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