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General NPI Number Information
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NPI Number | 1609042076
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Entity Type | Organization
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Legal Business Name | THE CENTER FOR MINISTRY
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Dates
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Enumeration Date | 05/05/2008
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Last Update Date | 05/05/2008
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Provider Practice Location Address
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Address Line | 2848 23RD AVE
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City | OAKLAND
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State | CA
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Zip | 94606-3532
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Country | US
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Telephone | 510-532-4246
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Fax | 510-532-4249
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Provider Business Mailing Address
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Address Line | 2848 23RD AVE
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City | OAKLAND
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State | CA
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Zip | 94606-3532
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Country | US
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Telephone | 510-532-4246
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Fax | 510-532-4249
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | DR. ROBERT LAURENT CHARPENTIER
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Credential | PH.D.
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Telephone | 510-532-4246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | MFT15174
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License Number State | CA
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