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General NPI Number Information
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NPI Number | 1609927250
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Entity Type | Organization
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Legal Business Name | FRIENDLY HOME HEALTH EQUIPMENT LLC
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | 1421 E MICHIGAN AVE
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City | JACKSON
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State | MI
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Zip | 49202-3580
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Country | US
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Telephone | 517-990-2771
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Fax |
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Provider Business Mailing Address
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Address Line | 1801 PROBERT RD
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City | JACKSON
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State | MI
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Zip | 49203-5214
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Country | US
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Telephone | 517-768-9310
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Fax | 517-789-5505
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Authorized Official
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Title or Position | CHIEF OPERATING OFFICER
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Name | MR. NASIR AZ BASHIR
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Credential | M.D.
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Telephone | 517-990-2771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | D
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License Number State | MI
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