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General NPI Number Information
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NPI Number | 1154997666
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE HEART HOME CARE AGENCY
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Dates
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Enumeration Date | 06/03/2021
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Last Update Date | 06/03/2021
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Provider Practice Location Address
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Address Line | 721 GAZETTA WAY
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City | WEST PALM BEACH
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State | FL
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Zip | 33413-1058
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Country | US
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Telephone | 323-682-3664
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Fax |
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Provider Business Mailing Address
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Address Line | 7750 OKEECHOBEE BLVD STE 676
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City | WEST PALM BEACH
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State | FL
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Zip | 33411-2104
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Country | US
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Telephone | 561-303-5506
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. DAWNETT MCGEE
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Credential | LPN
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Telephone | 561-303-5506
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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 |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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