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General NPI Number Information
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NPI Number | 1720975428
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Entity Type | Organization
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Legal Business Name | WAYMAKERZ MINISTRIES INC
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Dates
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Enumeration Date | 06/24/2025
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Last Update Date | 06/24/2025
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Provider Practice Location Address
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Address Line | 197 POPLAR RIDGE RD
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City | PINEY FLATS
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State | TN
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Zip | 37686-4329
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Country | US
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Telephone | 423-443-3996
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Fax |
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Provider Business Mailing Address
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Address Line | 197 POPLAR RIDGE RD
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City | PINEY FLATS
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State | TN
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Zip | 37686-4329
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Country | US
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Telephone | 423-443-3996
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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 | MR. JOHN SHIREY SR.
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Credential |
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Telephone | 423-443-3996
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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