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General NPI Number Information
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NPI Number | 1942905468
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Entity Type | Organization
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Legal Business Name | ASSEMBLY OF CHRIST'S FOLLOWERS INC
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Dates
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Enumeration Date | 04/03/2023
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Last Update Date | 10/31/2024
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Provider Practice Location Address
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Address Line | 8118 EDGEWOOD CHURCH ROAD
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City | FREDERICK
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State | MD
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Zip | 21702-2718
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Country | US
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Telephone | 240-440-1438
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Fax |
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Provider Business Mailing Address
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Address Line | 8118 EDGEWOOD CHURCH ROAD FREDERICK MD 21702 8118 EDGEWOOD CHURCH ROAD
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City | FREDERICK
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State | MD
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Zip | 21702-2718
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Country | US
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Telephone | 240-440-1438
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. SEME J. NDZANA
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Credential | PASTOR
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Telephone | 240-440-1438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0850X
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Taxonomy Name | Adult Mental Health Clinic/Center
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License Number |
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License Number State |
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