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General NPI Number Information
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NPI Number | 1841543915
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Entity Type | Organization
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Legal Business Name | LOVEJOY FAITH CENTER
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Dates
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Enumeration Date | 10/25/2012
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Last Update Date | 10/25/2012
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Provider Practice Location Address
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Address Line | 12034 GREEN GLADE DR
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City | HOUSTON
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State | TX
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Zip | 77099-3220
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Country | US
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Telephone | 832-421-0814
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Fax | 281-861-4706
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Provider Business Mailing Address
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Address Line | 12034 GREEN GLADE DR
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City | HOUSTON
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State | TX
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Zip | 77099-3220
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Country | US
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Telephone | 832-421-0814
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Fax | 281-861-4706
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Authorized Official
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Title or Position | OWNER
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Name | TAMMY LYNN HANCHETT
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Credential |
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Telephone | 832-421-0814
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State |
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