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General NPI Number Information
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NPI Number | 1215662440
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Entity Type | Organization
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Legal Business Name | COMPASSION CARE HOSPICE LLC
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Dates
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Enumeration Date | 07/21/2022
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Last Update Date | 11/30/2022
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Provider Practice Location Address
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Address Line | 222 S MILL AVE STE 800
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City | TEMPE
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State | AZ
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Zip | 85281-2899
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Country | US
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Telephone | 602-609-8523
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Fax |
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Provider Business Mailing Address
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Address Line | 222 S MILL AVE STE 800
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City | TEMPE
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State | AZ
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Zip | 85281-2899
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Country | US
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Telephone | 602-609-8523
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DESHAWN Y BRYANT
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Credential | RN
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Telephone | 702-557-0050
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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