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General NPI Number Information
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NPI Number | 1235654419
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Entity Type | Organization
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Legal Business Name | FAVOR HOLDINGS CORPORATION
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Dates
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Enumeration Date | 08/08/2017
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Last Update Date | 08/08/2017
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Provider Practice Location Address
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Address Line | 267 FARNER RD
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City | FARNER
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State | TN
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Zip | 37333-6414
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Country | US
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Telephone | 423-496-5010
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Fax | 302-269-3821
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Provider Business Mailing Address
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Address Line | PO BOX 410
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City | FREDERICA
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State | DE
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Zip | 19946-0410
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Country | US
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Telephone | 302-331-8694
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Fax | 302-269-3821
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Authorized Official
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Title or Position | OWNER
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Name | MS. LENORA A YOUNG
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Credential | RN
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Telephone | 302-331-8694
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State | TN
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