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General NPI Number Information
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NPI Number | 1073356234
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Entity Type | Organization
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Legal Business Name | COMPASS-NEMT LLC
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Dates
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Enumeration Date | 06/17/2024
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Last Update Date | 06/17/2024
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Provider Practice Location Address
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Address Line | 28548 BUD CT
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City | SANTA CLARITA
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State | CA
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Zip | 91350-1222
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Country | US
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Telephone | 661-233-7719
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Fax |
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Provider Business Mailing Address
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Address Line | 28548 BUD CT
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City | SANTA CLARITA
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State | CA
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Zip | 91350-1222
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Country | US
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Telephone | 661-233-7719
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Fax |
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Authorized Official
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Title or Position | OWNER/AGENT
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Name | TEREZA YACOUB IVANOF
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Credential |
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Telephone | 661-755-5610
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 172A00000X
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Taxonomy Name | Driver
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License Number |
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License Number State |
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