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General NPI Number Information
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NPI Number | 1922808740
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Entity Type | Organization
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Legal Business Name | FAITH CHURCH OF THE REDLANDS INC DBA PIVOT POINT
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Dates
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Enumeration Date | 03/19/2025
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Last Update Date | 06/05/2025
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Provider Practice Location Address
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Address Line | 28945 SW 187TH AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030-2408
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Country | US
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Telephone | 786-728-4247
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Fax |
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Provider Business Mailing Address
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Address Line | 28945 SW 187TH AVE
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City | HOMESTEAD
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State | FL
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Zip | 33030-2408
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Country | US
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Telephone | 786-728-4247
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Fax |
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Authorized Official
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Title or Position | DIRECTOR/OWNER
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Name | MR. JOHN ESPOSITO
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Credential |
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Telephone | 786-728-4247
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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