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General NPI Number Information
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NPI Number | 1457494569
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Entity Type | Organization
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Legal Business Name | FRIENDS AND COMPANIONS
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Dates
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Enumeration Date | 02/15/2007
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Last Update Date | 12/12/2013
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Provider Practice Location Address
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Address Line | 2101 S MAIN ST
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City | CORBIN
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State | KY
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Zip | 40701-2035
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Country | US
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Telephone | 606-526-5913
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Fax | 606-526-5518
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Provider Business Mailing Address
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Address Line | 2101 S MAIN ST
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City | CORBIN
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State | KY
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Zip | 40701-2035
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Country | US
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Telephone | 606-526-5913
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Fax | 606-526-5518
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Authorized Official
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Title or Position | MANAGING MEMBER
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Name | MS. JOYCE A. LEWIS
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Credential | R.N.
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Telephone | 606-877-1135
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number | 750143
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License Number State | KY
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Taxonomy #2
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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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