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General NPI Number Information
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NPI Number | 1710590625
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Entity Type | Organization
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Legal Business Name | FAITHFULLY FAVOURED HOME CARE AND COMPANION SERVICES
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Dates
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Enumeration Date | 08/28/2020
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Last Update Date | 08/28/2020
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Provider Practice Location Address
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Address Line | 2770 ROOSEVELT BLVD APT 2151
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City | CLEARWATER
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State | FL
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Zip | 33760-2543
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Country | US
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Telephone | 727-342-2746
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Fax |
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Provider Business Mailing Address
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Address Line | 2770 ROOSEVELT BLVD APT 2151
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City | CLEARWATER
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State | FL
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Zip | 33760-2543
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Country | US
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Telephone | 727-342-2746
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TANEISHA CAMPBELL
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Credential |
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Telephone | 727-342-2746
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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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