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General NPI Number Information
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NPI Number | 1982748208
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Entity Type | Organization
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Legal Business Name | RESTORATION MINISTRIES, INC.
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Dates
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Enumeration Date | 02/19/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 609 N 7TH ST
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City | FORT PIERCE
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State | FL
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Zip | 34950-3109
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Country | US
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Telephone | 772-468-7900
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 2375
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City | FORT PIERCE
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State | FL
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Zip | 34954-2375
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Country | US
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Telephone | 772-468-7900
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF ADMINISTRATION
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Name | FRANCES WATSON
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Credential |
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Telephone | 772-468-7900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 324500000X
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Taxonomy Name | Substance Abuse Rehabilitation Facility
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License Number | 1556AD802400
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License Number State | FL
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