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General NPI Number Information
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NPI Number | 1831329465
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Entity Type | Organization
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Legal Business Name | TRINITY BAPTIST CHURCH
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Dates
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Enumeration Date | 07/16/2009
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Last Update Date | 07/16/2009
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Provider Practice Location Address
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Address Line | 1601 I-40 W
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City | AMARILLO
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State | TX
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Zip | 79109-1800
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Country | US
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Telephone | 806-372-2421
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Fax | 806-372-2655
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Provider Business Mailing Address
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Address Line | 1601 I-40 W
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City | AMARILLO
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State | TX
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Zip | 79109-1800
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Country | US
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Telephone | 806-372-2421
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Fax | 806-372-2655
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Authorized Official
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Title or Position | COUSELING AND PASTORAL CARE
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Name | MR. CAREY MARK SKINNER
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Credential | LPC
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Telephone | 806-372-2421
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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 | LPC15004
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License Number State | TX
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