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General NPI Number Information
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NPI Number | 1194514802
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Entity Type | Organization
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Legal Business Name | FRIENDS & FAMILY SUPPORT SERVICES LLC
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Dates
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Enumeration Date | 05/01/2025
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Last Update Date | 05/01/2025
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Provider Practice Location Address
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Address Line | 101 EATON ST
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City | HAMPTON
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State | VA
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Zip | 23669-4079
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Country | US
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Telephone | 757-573-0959
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 9168
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City | HAMPTON
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State | VA
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Zip | 23670-0168
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Country | US
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Telephone | 757-573-0959
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Fax |
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Authorized Official
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Title or Position | C.E.O
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Name | DEONKO BREWER
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Credential |
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Telephone | 757-573-0959
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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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