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General NPI Number Information
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NPI Number | 1255739868
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Entity Type | Organization
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Legal Business Name | COMPASS HOME CARE AND REHAB CENTER LLC
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Dates
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Enumeration Date | 12/12/2014
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Last Update Date | 12/12/2014
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Provider Practice Location Address
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Address Line | 225 STEDMAN ST SUITE 32
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City | LOWELL
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State | MA
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Zip | 01851-2700
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Country | US
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Telephone | 978-710-3800
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Fax | 978-710-4057
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Provider Business Mailing Address
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Address Line | 225 STEDMAN ST SUITE 32
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City | LOWELL
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State | MA
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Zip | 01851-2700
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Country | US
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Telephone | 978-710-3800
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Fax | 978-710-4057
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Authorized Official
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Title or Position | MANAGER
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Name | MS. DANA RENEE NICHOLS
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Credential | RN, LNHA
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Telephone | 978-710-3800
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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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