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General NPI Number Information
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NPI Number | 1215420229
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Entity Type | Organization
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Legal Business Name | COMPANION & COMPASSION LLC
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Dates
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Enumeration Date | 06/13/2018
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Last Update Date | 09/08/2025
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Provider Practice Location Address
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Address Line | 6015 CHESTER CIR STE 108
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City | JACKSONVILLE
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State | FL
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Zip | 32217-2270
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Country | US
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Telephone | 904-502-9052
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Fax | 904-515-5647
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Provider Business Mailing Address
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Address Line | 6015 CHESTER CIR STE 108
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City | JACKSONVILLE
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State | FL
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Zip | 32217-2270
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Country | US
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Telephone | 904-502-9052
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Fax | 904-515-5642
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Authorized Official
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Title or Position | OWNER
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Name | CARLLISA WILLIAMS
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Credential | RN
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Telephone | 904-316-5347
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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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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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Taxonomy #4
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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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