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General NPI Number Information
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NPI Number | 1104429737
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE INNOVATIONS LLC
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Dates
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Enumeration Date | 11/17/2020
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Last Update Date | 11/17/2020
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Provider Practice Location Address
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Address Line | 3154 LINCOLN WAY NW
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City | MASSILLON
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State | OH
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Zip | 44647-5207
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Country | US
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Telephone | 330-844-2814
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Fax | 330-880-0333
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Provider Business Mailing Address
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Address Line | 147 21ST ST NW
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City | CANTON
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State | OH
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Zip | 44709-3907
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Country | US
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Telephone | 330-844-2814
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Fax | 330-880-0333
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Authorized Official
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Title or Position | OWNER
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Name | KIMBERLY L ZINK
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Credential |
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Telephone | 330-844-2814
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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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