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General NPI Number Information
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NPI Number | 1902320815
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Entity Type | Organization
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Legal Business Name | LIVING BY FAITH INC.
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Dates
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Enumeration Date | 08/01/2017
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 905 NE 10TH ST
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-2693
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Country | US
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Telephone | 954-456-3725
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Fax | 844-319-1193
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Provider Business Mailing Address
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Address Line | 905 NE 10TH ST
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City | HALLANDALE BEACH
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State | FL
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Zip | 33009-2693
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Country | US
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Telephone | 954-456-3725
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Fax | 844-319-1193
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Authorized Official
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Title or Position | OWNER/ADMINSTRATOR
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Name | MRS. FAITH ELAINE WILLIAMS
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Credential |
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Telephone | 954-456-3725
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | AL12854
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License Number State | FL
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