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General NPI Number Information
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NPI Number | 1124402037
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Entity Type | Organization
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Legal Business Name | CPAM, INC
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Dates
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Enumeration Date | 07/10/2015
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Last Update Date | 07/10/2015
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Provider Practice Location Address
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Address Line | 10100 IRON BRIDGE RD
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City | CHESTERFIELD
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State | VA
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Zip | 23832-6507
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Country | US
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Telephone | 804-715-4607
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Fax | 804-715-4802
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Provider Business Mailing Address
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Address Line | PO BOX 292
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City | CHESTERFIELD
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State | VA
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Zip | 23832-0004
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Country | US
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Telephone | 804-715-4607
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Fax | 804-715-4802
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Authorized Official
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Title or Position | OWNER
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Name | CASSY PAMINIANO
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Credential | R.N.
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Telephone | 804-715-4607
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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 | HCO151253
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License Number State | VA
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