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General NPI Number Information
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NPI Number | 1225714389
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Entity Type | Organization
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Legal Business Name | FRIENDLY PREP LLC
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Dates
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Enumeration Date | 06/23/2023
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Last Update Date | 06/23/2023
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Provider Practice Location Address
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Address Line | 9100 EDGEWORTH DR
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City | CAPITOL HEIGHTS
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State | MD
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Zip | 20743-3733
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Country | US
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Telephone | 804-898-8535
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Fax |
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Provider Business Mailing Address
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Address Line | 1334 CRANES BILL WAY
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City | WOODBRIDGE
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State | VA
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Zip | 22191-5513
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Country | US
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Telephone | 803-898-8535
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JAVONNA FRIEND
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Credential |
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Telephone | 804-898-8535
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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