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General NPI Number Information
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NPI Number | 1811480544
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Entity Type | Organization
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Legal Business Name | FIRST BAPTIST CHURCH SUNNYVALE
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Dates
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Enumeration Date | 06/07/2018
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Last Update Date | 06/07/2018
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Provider Practice Location Address
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Address Line | 3018 N BELT LINE RD
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City | SUNNYVALE
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State | TX
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Zip | 75182-9346
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Country | US
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Telephone | 972-226-7105
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Fax |
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Provider Business Mailing Address
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Address Line | 3018 N BELT LINE RD
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City | SUNNYVALE
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State | TX
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Zip | 75182-9346
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Country | US
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Telephone | 972-226-7105
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Fax |
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Authorized Official
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Title or Position | DAY HAB DIRECTOR
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Name | ROSA MINX
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Credential |
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Telephone | 972-226-7105
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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