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General NPI Number Information
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NPI Number | 1801762885
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Entity Type | Organization
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Legal Business Name | WE ARE OF GOD MININSTRIES
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Dates
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Enumeration Date | 10/15/2025
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Last Update Date | 10/15/2025
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Provider Practice Location Address
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Address Line | 2716 W TOUHY AVE
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City | CHICAGO
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State | IL
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Zip | 60645-3008
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Country | US
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Telephone | 773-739-7926
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Fax |
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Provider Business Mailing Address
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Address Line | 2716 W TOUHY AVE
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City | CHICAGO
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State | IL
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Zip | 60645-3008
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Country | US
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Telephone | 773-739-7926
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Fax |
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Authorized Official
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Title or Position | EXCUTIVE DIRECTOR
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Name | PAULETTE FOWLER
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Credential | EXCUTIVE
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Telephone | 773-739-7926
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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