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General NPI Number Information
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NPI Number | 1023308996
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Entity Type | Organization
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Legal Business Name | CARING & COMPASSIONATE HEALTHCARE AGENCY LLC
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 04/11/2014
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Provider Practice Location Address
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Address Line | 2860 JOLLY RD STE B
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City | OKEMOS
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State | MI
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Zip | 48864-3669
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Country | US
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Telephone | 507-329-3531
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Fax | 507-343-0076
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Provider Business Mailing Address
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Address Line | 1815 ELEANOR ST
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City | WORTHINGTON
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State | MN
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Zip | 56187-1817
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Country | US
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Telephone | 507-329-3531
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Fax | 507-343-0076
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | MS. REMONA LYSA BROWN
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Credential |
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Telephone | 507-329-3531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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