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General NPI Number Information
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NPI Number | 1750725669
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Entity Type | Organization
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Legal Business Name | FAITH MINISTRIES OF TEXAS, INC.
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Dates
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Enumeration Date | 04/22/2013
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Last Update Date | 04/22/2013
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Provider Practice Location Address
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Address Line | 8035 E R L THORNTON FWY SUITE 615
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City | DALLAS
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State | TX
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Zip | 75228-7018
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Country | US
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Telephone | 469-774-3053
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Fax | 180-038-1214
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Provider Business Mailing Address
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Address Line | 8035 E R L THORNTON FWY SUITE 615
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City | DALLAS
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State | TX
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Zip | 75228-7018
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Country | US
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Telephone | 469-774-3053
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Fax | 180-038-1214
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MRS. DEMETRA DONALDSON
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Credential | MS
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Telephone | 469-774-3053
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310500000X
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Taxonomy Name | Mental Illness Intermediate Care Facility
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License Number |
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License Number State | TX
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State | TX
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