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General NPI Number Information
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NPI Number | 1861530420
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Entity Type | Organization
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Legal Business Name | CIRCLE OF FRIENDS INC.
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Dates
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Enumeration Date | 02/03/2007
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 40 STERN AVE
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-2905
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Country | US
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Telephone | 973-376-4004
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Fax | 973-376-8060
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Provider Business Mailing Address
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Address Line | 40 STERN AVE
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City | SPRINGFIELD
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State | NJ
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Zip | 07081-2905
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Country | US
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Telephone | 973-376-4004
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Fax | 973-376-8060
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. EVA NA CHOINA
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Credential |
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Telephone | 19733764004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 302R00000X
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Taxonomy Name | Health Maintenance Organization
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License Number | NZDOUG
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License Number State | NJ
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