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General NPI Number Information
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NPI Number | 1730309469
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Entity Type | Organization
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Legal Business Name | FAMILY AND FRIENDS CARE CENTER
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Dates
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Enumeration Date | 04/26/2007
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Last Update Date | 06/30/2008
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Provider Practice Location Address
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Address Line | 6135 WINDSONG DRIVE
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City | BEAUMONT
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State | TX
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Zip | 77713-3411
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Country | US
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Telephone | 409-899-5761
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Fax | 409-924-0493
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Provider Business Mailing Address
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Address Line | 6135 WINDSONG DR
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City | BEAUMONT
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State | TX
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Zip | 77713-3411
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Country | US
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Telephone | 409-899-5761
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Fax | 409-924-0493
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Authorized Official
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Title or Position | LBSW
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Name | MS. SHERRYAL L ANDERSON
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Credential |
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Telephone | 409-899-5761
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number | 10236
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License Number State | TX
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