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General NPI Number Information
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NPI Number | 1093883498
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Entity Type | Organization
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Legal Business Name | COMPASS ADULT CARE, INC
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Dates
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Enumeration Date | 12/01/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1100 RIDGEFIELD BLVD SUITE 190
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City | ASHEVILLE
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State | NC
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Zip | 28806-6206
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Country | US
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Telephone | 828-350-8506
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 19649
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City | CHARLOTTE
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State | NC
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Zip | 28219-9649
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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 | CEO
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Name | DEREK BULLARD
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Credential |
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Telephone | 704-521-4977
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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