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General NPI Number Information
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NPI Number | 1760270680
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Entity Type | Organization
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Legal Business Name | THE HOUSE OF ACTS 2:38
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Dates
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Enumeration Date | 04/29/2025
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 3214 PINE ST
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City | EUREKA
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State | CA
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Zip | 95503-5139
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Country | US
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Telephone | 707-382-7397
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Fax |
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Provider Business Mailing Address
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Address Line | 2707 FAIRFIELD ST
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City | EUREKA
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State | CA
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Zip | 95501-3522
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Country | US
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Telephone | 707-382-7397
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Fax |
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Authorized Official
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Title or Position | CO FOUNDER
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Name | DAWNYALE BROWN
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Credential | DR.OF CHRISTIAN
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Telephone | 707-382-7397
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP1600X
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Taxonomy Name | Pastoral Counselor
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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