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General NPI Number Information
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NPI Number | 1619746039
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Entity Type | Organization
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Legal Business Name | JESUS WILL MINISTRY
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Dates
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Enumeration Date | 12/27/2023
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Last Update Date | 01/02/2024
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Provider Practice Location Address
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Address Line | 5121 RUE ST
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City | HOUSTON
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State | TX
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Zip | 77033-4213
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Country | US
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Telephone | 281-830-6567
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Fax |
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Provider Business Mailing Address
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Address Line | 1207 SANDPIPER CT N
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City | PEARLAND
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State | TX
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Zip | 77584-2595
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Country | US
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Telephone | 183-272-0218
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | ELROY B DOZIER
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Credential |
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Telephone | 281-830-6567
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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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 | 174200000X
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Taxonomy Name | Meals Provider
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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 | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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