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General NPI Number Information
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NPI Number | 1598623605
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Entity Type | Organization
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Legal Business Name | FRIENDS CIRCLE ADULT ACTIVITY CENTER
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Dates
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Enumeration Date | 01/15/2026
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Last Update Date | 01/15/2026
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Provider Practice Location Address
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Address Line | 21741 HILLSIDE DR APT C2
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City | CLINTON TWP
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State | MI
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Zip | 48035-6016
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Country | US
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Telephone | 586-303-8851
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Fax | 586-303-8851
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Provider Business Mailing Address
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Address Line | 21741 HILLSIDE DR APT C2
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City | CLINTON TWP
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State | MI
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Zip | 48035-6016
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Country | US
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Telephone | 586-303-8851
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Fax | 586-303-8851
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Authorized Official
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Title or Position | OWNER
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Name | CANDACE T BROOKS
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Credential | B.A PSYCH IP
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Telephone | 586-303-8851
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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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