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General NPI Number Information
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NPI Number | 1538087226
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Entity Type | Organization
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Legal Business Name | BREAD FOR OUR CHILDREN
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Dates
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Enumeration Date | 07/09/2026
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Last Update Date | 07/09/2026
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Provider Practice Location Address
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Address Line | 320 S CLARK RD
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City | CEDAR HILL
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State | TX
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Zip | 75104-2865
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Country | US
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Telephone | 214-642-9768
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Fax |
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Provider Business Mailing Address
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Address Line | 706 BERMUDA AVE
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City | LANCASTER
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State | TX
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Zip | 75146-1054
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Country | US
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Telephone | 214-642-9768
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. MYESHA S MAYES
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Credential |
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Telephone | 214-642-9768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172V00000X
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Taxonomy Name | Community Health 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 | 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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