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General NPI Number Information
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NPI Number | 1932975984
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Entity Type | Organization
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Legal Business Name | YOUNG CHRISTIAN PROFESSIONALS
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Dates
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Enumeration Date | 11/30/2023
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Last Update Date | 11/30/2023
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Provider Practice Location Address
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Address Line | 120 CLEVELAND AVE SW
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City | CANTON
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State | OH
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Zip | 44702-1904
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Country | US
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Telephone | 234-214-3534
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Fax |
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Provider Business Mailing Address
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Address Line | 120 CLEVELAND AVE SW
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City | CANTON
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State | OH
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Zip | 44702-1904
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Country | US
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Telephone | 234-214-3534
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Fax |
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Authorized Official
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Title or Position | CO FOUNDER
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Name | STANLEY FRANKART
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Credential |
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Telephone | 234-214-3534
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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