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General NPI Number Information
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NPI Number | 1104942473
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Entity Type | Organization
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Legal Business Name | COMPANION HEALTH CARE INC.
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Dates
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Enumeration Date | 03/21/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 530 E MAIN ST SUITE 203
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City | RICHMOND
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State | VA
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Zip | 23219-2418
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Country | US
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Telephone | 804-343-1649
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Fax |
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Provider Business Mailing Address
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Address Line | 530 E MAIN ST SUITE 203
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City | RICHMOND
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State | VA
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Zip | 23219-2418
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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 | OWNER ADMINISTRATOR
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Name | MR. JERRY RAY TRIMARCHI
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Credential |
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Telephone | 804-343-1649
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 992561150640
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License Number State | VA
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