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General NPI Number Information
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NPI Number | 1225708084
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Entity Type | Organization
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Legal Business Name | FRIENDS AND FAMILY CIRCLE OF LOVE, LLC
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Dates
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Enumeration Date | 09/14/2021
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Last Update Date | 06/07/2022
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Provider Practice Location Address
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Address Line | 5865 RIDGE WAY CENTER PARKWAY STE:300
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City | MEMPHIS
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State | TN
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Zip | 38120-4014
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Country | US
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Telephone | 901-464-0729
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Fax |
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Provider Business Mailing Address
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Address Line | 8295 TOURNAMENT DR STE 150
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City | MEMPHIS
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State | TN
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Zip | 38125-8900
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Country | US
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Telephone | 901-464-0729
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Fax | 901-328-7178
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | TAMEKA METRELL MCGHEE
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Credential |
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Telephone | 901-464-0729
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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