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General NPI Number Information
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NPI Number | 1740434133
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Entity Type | Organization
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Legal Business Name | FAITH HOPE AND LOVE CHURCH
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Dates
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Enumeration Date | 11/11/2008
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Last Update Date | 11/11/2008
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Provider Practice Location Address
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Address Line | 477 VISGER RD
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City | ECORSE
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State | MI
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Zip | 48229-1365
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Country | US
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Telephone | 313-595-8979
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Fax | 734-250-7719
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Provider Business Mailing Address
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Address Line | 2722 S LIDDESDALE ST
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City | DETROIT
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State | MI
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Zip | 48217-1184
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Country | US
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Telephone | 313-595-8979
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Fax | 734-250-7719
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Authorized Official
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Title or Position | TREASURER
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Name | MS. RHONDA YVONNE MAJOR
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Credential | ECT
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Telephone | 313-595-8979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable Agency
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License Number | M260737968391
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License Number State | MI
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