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General NPI Number Information
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NPI Number | 1700626710
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Entity Type | Organization
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Legal Business Name | SOUTHWEST COMMUNITY CHURCH OF PALM DESERT
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Dates
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Enumeration Date | 05/28/2024
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Last Update Date | 05/29/2024
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Provider Practice Location Address
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Address Line | 44175 WASHINGTON ST. , INDIAN WELLS, CA 92210
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City | INDIAN WELLS
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State | CA
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Zip | 92210
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Country | US
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Telephone | 760-200-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 44175 WASHINGTON ST
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City | INDIAN WELLS
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State | CA
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Zip | 92210-6801
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Country | US
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Telephone | 760-200-2000
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Fax |
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Authorized Official
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Title or Position | PASTOR OF OPERATIONS
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Name | MR. DAVID BELL
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Credential |
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Telephone | 760-200-2000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number |
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License Number State |
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