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General NPI Number Information
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NPI Number | 1760887459
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Entity Type | Organization
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Legal Business Name | BOARD OF CHILD CARE OF THE UNITED METHODIST CHURCH, INC
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Dates
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Enumeration Date | 10/24/2014
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Last Update Date | 10/24/2014
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Provider Practice Location Address
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Address Line | 27 CAMPOLINA WAY
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City | MARTINSBURG
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State | WV
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Zip | 25404-1105
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Country | US
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Telephone | 304-267-8863
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Fax | 304-267-8916
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Provider Business Mailing Address
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Address Line | 3300 GAITHER RD
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City | BALTIMORE
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State | MD
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Zip | 21244-2916
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Country | US
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Telephone | 410-922-2100
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Fax | 410-496-5618
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Authorized Official
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Title or Position | CHIEF FINANCIAL OFFICER
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Name | MR. JAMES EDWARD BUCKEY
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Credential |
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Telephone | 410-922-2100
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 13GR7
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License Number State | WV
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