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General NPI Number Information
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NPI Number | 1013525955
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE IN-HOME CARE LLC
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Dates
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Enumeration Date | 07/16/2020
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Last Update Date | 07/16/2020
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Provider Practice Location Address
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Address Line | 4124 VIA CANDIDIZ UNIT 142
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City | SAN DIEGO
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State | CA
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Zip | 92130-3159
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Country | US
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Telephone | 858-209-4267
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Fax | 858-794-4094
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Provider Business Mailing Address
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Address Line | 4124 VIA CANDIDIZ UNIT 142
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City | SAN DIEGO
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State | CA
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Zip | 92130-3159
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Country | US
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Telephone | 858-209-4267
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Fax | 858-794-4094
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Authorized Official
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Title or Position | PARTNER
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Name | CHRISTOPHER JOHN NOONAN
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Credential |
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Telephone | 619-581-0212
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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