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General NPI Number Information
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NPI Number | 1225488323
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE CARE
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Dates
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Enumeration Date | 06/20/2016
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Last Update Date | 06/20/2016
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Provider Practice Location Address
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Address Line | 3102 PLANTATION DR APT 2
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City | BARDSTOWN
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State | KY
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Zip | 40004-9719
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Country | US
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Telephone | 502-601-7255
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Fax | 502-849-0770
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Provider Business Mailing Address
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Address Line | 3102 PLANTATION DR APT 2
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City | BARDSTOWN
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State | KY
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Zip | 40004-9719
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Country | US
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Telephone | 502-601-7255
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Fax | 502-849-0770
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Authorized Official
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Title or Position | CEO/ OWNER
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Name | CHARITY COOPER
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Credential |
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Telephone | 502-294-9476
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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 | 500242
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License Number State | KY
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