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General NPI Number Information
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NPI Number | 1346662855
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Entity Type | Organization
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Legal Business Name | CARING FRIENDS AND COMPANIONS GROUP HOME, INC
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Dates
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Enumeration Date | 01/17/2014
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Last Update Date | 01/17/2014
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Provider Practice Location Address
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Address Line | 2435 MLK ST S
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City | ST PETERSBURG
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State | FL
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Zip | 33705-3542
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Country | US
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Telephone | 727-800-5110
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Fax | 727-289-2643
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Provider Business Mailing Address
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Address Line | 2435 MLK ST S
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City | ST PETERSBURG
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State | FL
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Zip | 33705-3542
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Country | US
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Telephone | 727-800-5110
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Fax | 727-289-2643
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Authorized Official
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Title or Position | DIRECTOR
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Name | MARALYN B HARRIOTT
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Credential |
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Telephone | 727-800-5110
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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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