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General NPI Number Information
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NPI Number | 1003261181
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE CARE NURSING AGENCY
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Dates
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Enumeration Date | 04/26/2016
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Last Update Date | 04/26/2016
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Provider Practice Location Address
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Address Line | 1900 CHURCH ST
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City | NASHVILLE
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State | TN
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Zip | 37203-2234
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Country | US
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Telephone | 601-850-8930
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Fax |
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Provider Business Mailing Address
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Address Line | 4154 PLAZA ST
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City | JACKSON
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State | MS
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Zip | 39206-4720
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | TERA SHERIFF
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Credential |
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Telephone | 601-850-8930
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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