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General NPI Number Information
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NPI Number | 1184139412
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Entity Type | Organization
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Legal Business Name | FRIENDCARE INC
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Dates
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Enumeration Date | 12/08/2017
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Last Update Date | 02/03/2018
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Provider Practice Location Address
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Address Line | 2938 W BAY DR STE A
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City | BELLEAIR BLUFFS
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State | FL
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Zip | 33770-2636
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Country | US
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Telephone | 727-509-3104
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Fax | 727-509-3346
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Provider Business Mailing Address
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Address Line | 2938 W BAY DR STE A
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City | BELLEAIR BLUFFS
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State | FL
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Zip | 33770-2636
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Country | US
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Telephone | 727-509-3104
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Fax | 727-509-3346
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Authorized Official
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Title or Position | OWNER
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Name | JONATHAN TANNER
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Credential |
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Telephone | 727-509-3104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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