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General NPI Number Information
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NPI Number | 1538610514
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Entity Type | Organization
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Legal Business Name | REMNANT COMMUNITY CHURCH
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Dates
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Enumeration Date | 10/14/2016
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Last Update Date | 10/14/2016
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Provider Practice Location Address
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Address Line | 1125 COMMERCIAL DR
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City | LEXINGTON
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State | KY
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Zip | 40505-3815
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Country | US
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Telephone | 859-255-3531
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Fax |
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Provider Business Mailing Address
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Address Line | 1125 COMMERCIAL DR
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City | LEXINGTON
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State | KY
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Zip | 40505-3815
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Country | US
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Telephone | 859-255-3531
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Fax |
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Authorized Official
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Title or Position | CO-PASTOR
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Name | MRS. DAISY E BROWN
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Credential | CSW
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Telephone | 859-255-3531
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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 | 252141
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License Number State | KY
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