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General NPI Number Information
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NPI Number | 1205337938
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE COMPANIONS LLC
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Dates
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Enumeration Date | 02/27/2018
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Last Update Date | 05/07/2018
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Provider Practice Location Address
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Address Line | 5441 VIRGINIA BEACH BLVD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-1749
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Country | US
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Telephone | 757-235-7374
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Fax | 757-257-2062
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Provider Business Mailing Address
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Address Line | 5441 VIRGINIA BEACH BLVD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23462-1749
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Country | US
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Telephone | 757-235-7374
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Fax | 757-257-2062
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | YVETTE BARRON
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Credential |
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Telephone | 757-235-7374
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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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