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General NPI Number Information
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NPI Number | 1790448629
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Entity Type | Organization
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Legal Business Name | NORTHDAVIDSON A UNITED METHODIST CONGREGATION
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Dates
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Enumeration Date | 10/18/2021
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Last Update Date | 10/18/2021
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Provider Practice Location Address
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Address Line | 1025 E 36TH ST
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City | CHARLOTTE
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State | NC
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Zip | 28205-1652
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Country | US
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Telephone | 704-806-3803
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Fax |
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Provider Business Mailing Address
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Address Line | 3400 WINTERFIELD PL
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City | CHARLOTTE
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State | NC
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Zip | 28205-5940
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Country | US
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Telephone | 704-806-3803
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Fax |
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Authorized Official
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Title or Position | LEAD PASTOR
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Name | DR. EMMANUEL SHANKA MORRIS SR.
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Credential | DOCTOR OF DIVINITY
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Telephone | 704-806-3803
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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 |
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License Number State |
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