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NPI 1659602886

NPI 1659602886 : NATIONAL ASSOC OF WOMEN IN MINISTRY : ROYAL PALM BEACH, FL

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General NPI Number Information
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    NPI Number           |    1659602886
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    Entity Type          |    Organization 
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    Legal Business Name  |    NATIONAL ASSOC OF WOMEN IN MINISTRY 
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Dates
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    Enumeration Date     |    01/28/2010
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    Last Update Date     |    01/28/2010
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Provider Practice Location Address
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    Address Line         |    808 PALM BEACH TRACE DR 
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    City                 |    ROYAL PALM BEACH
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    State                |    FL
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    Zip                  |    33411-1268
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    Country              |    US
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    Telephone            |    561-598-8862
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 705 
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    City                 |    WEST PALM BEACH
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    State                |    FL
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    Zip                  |    33402-0705
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    Country              |    US
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    Telephone            |    561-598-8862
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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. VERNELL  KING 
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    Credential           |    MA-PSY
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    Telephone            |    561-598-8862
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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        |    343900000X
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    Taxonomy Name        |    Non-emergency Medical Transport (VAN)
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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        |    320800000X
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    Taxonomy Name        |    Mental Illness Community Based Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #4
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    Taxonomy Code        |    320900000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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Taxonomy #5
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    Taxonomy Code        |    320700000X
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    Taxonomy Name        |    Physical Disabilities Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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