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General NPI Number Information
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NPI Number | 1659859593
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Entity Type | Organization
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Legal Business Name | MINISTRY OF CARING INC
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Dates
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Enumeration Date | 08/02/2018
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Last Update Date | 08/02/2018
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Provider Practice Location Address
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Address Line | 830 N SPRUCE ST
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City | WILMINGTON
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State | DE
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Zip | 19801-4200
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Country | US
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Telephone | 302-652-8947
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Fax | 302-652-8994
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Provider Business Mailing Address
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Address Line | 830 N SPRUCE ST
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City | WILMINGTON
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State | DE
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Zip | 19801-4200
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Country | US
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Telephone | 302-652-8947
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Fax | 302-652-8994
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Authorized Official
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Title or Position | DENTIST - PROGRAM DIRECTOR
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Name | DR. TAWANA M. MEDLIN
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Credential | DDS
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Telephone | 302-222-6269
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | G1-0001168
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License Number State | DE
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