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General NPI Number Information
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NPI Number | 1912035882
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Entity Type | Organization
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Legal Business Name | PARENTS AND FRIENDS, INC.
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Dates
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Enumeration Date | 03/01/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2354 N US HIGHWAY 35 SUITE 3
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City | LA PORTE
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State | IN
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Zip | 46350-8380
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Country | US
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Telephone | 219-324-0656
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Fax | 219-324-3903
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Provider Business Mailing Address
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Address Line | 2354 N US HIGHWAY 35 SUITE 3
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City | LA PORTE
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State | IN
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Zip | 46350-8380
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Country | US
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Telephone | 219-324-0656
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Fax | 219-324-3903
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. CARL SCOTT
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Credential |
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Telephone | 219-324-0656
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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License Number |
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License Number State |
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