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NPI 1144974478

NPI 1144974478 : FAITHFUL FRIENDSHIPS INC. : WESLEY CHAPEL, FL

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General NPI Number Information
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    NPI Number           |    1144974478
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    Entity Type          |    Organization 
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    Legal Business Name  |    FAITHFUL FRIENDSHIPS INC. 
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Dates
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    Enumeration Date     |    02/06/2022
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    Last Update Date     |    02/06/2022
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Provider Practice Location Address
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    Address Line         |    30517 DOUBLE DR 
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    City                 |    WESLEY CHAPEL
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    State                |    FL
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    Zip                  |    33545-4228
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    Country              |    US
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    Telephone            |    813-770-8626
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    30517 DOUBLE DR 
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    City                 |    WESLEY CHAPEL
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    State                |    FL
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    Zip                  |    33545-4228
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    Country              |    US
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    Telephone            |    813-770-8626
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. DIANA  CORDOVA 
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    Credential           |    
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    Telephone            |    813-770-8626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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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        |    372600000X
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    Taxonomy Name        |    Adult Companion
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    License Number       |    
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    License Number State |    
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