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General NPI Number Information
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NPI Number | 1225921901
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Entity Type | Organization
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Legal Business Name | A FRIEND OF MINE ADULT DAY SERVICES, LLC
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Dates
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Enumeration Date | 05/31/2025
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Last Update Date | 05/31/2025
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Provider Practice Location Address
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Address Line | 9000 PATTERSON AVE
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City | HENRICO
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State | VA
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Zip | 23229-6102
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Country | US
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Telephone | 804-426-5009
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Fax |
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Provider Business Mailing Address
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Address Line | 9000 PATTERSON AVE
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City | HENRICO
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State | VA
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Zip | 23229-6102
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Country | US
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Telephone | 804-426-5009
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Fax |
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Authorized Official
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Title or Position | OWNER/CEO
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Name | MRS. KIMBERLY FRIEND
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Credential |
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Telephone | 804-426-5009
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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