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General NPI Number Information
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NPI Number | 1962837708
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Entity Type | Organization
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Legal Business Name | SENIOR FRIENDSHIP CENTERS
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Dates
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Enumeration Date | 09/12/2013
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Last Update Date | 08/24/2021
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Provider Practice Location Address
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Address Line | 2350 SCENIC DR
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City | VENICE
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State | FL
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Zip | 34293-1510
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Country | US
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Telephone | 941-584-0044
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Fax | 941-584-0108
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Provider Business Mailing Address
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Address Line | 2350 SCENIC DR
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City | VENICE
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State | FL
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Zip | 34293-1510
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Country | US
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Telephone | 941-584-0030
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Fax | 941-497-7195
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Authorized Official
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Title or Position | ADULT DAY SERVICES MANAGER
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Name | MEG ANN CLARK
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Credential |
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Telephone | 941-584-0044
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number | 305
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License Number State | FL
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