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General NPI Number Information
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NPI Number | 1265847354
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE DIAGNOSTICS, LLC
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Dates
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Enumeration Date | 06/26/2014
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Last Update Date | 06/26/2014
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Provider Practice Location Address
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Address Line | 1000 MIDWAY DR SUITE 3
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City | HARRINGTON
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State | DE
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Zip | 19952-2448
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Country | US
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Telephone | 302-398-0888
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Fax | 302-398-0889
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Provider Business Mailing Address
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Address Line | 1000 MIDWAY DR SUITE 3
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City | HARRINGTON
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State | DE
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Zip | 19952-2448
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Country | US
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Telephone | 302-398-0888
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Fax | 302-398-0889
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Authorized Official
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Title or Position | OWNER
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Name | DR. EVA CAROL DICKINSON
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Credential | MD PHD
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Telephone | 410-829-5580
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QU0200X
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Taxonomy Name | Urgent Care Clinic/Center
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License Number | C1-0006413
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License Number State | DE
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Taxonomy #2
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | C1-0006413
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License Number State | DE
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Taxonomy #3
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Taxonomy Code | 261QE0002X
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Taxonomy Name | Emergency Care Clinic/Center
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License Number | C1-0006413
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License Number State | DE
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Taxonomy #4
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Taxonomy Code | 261QP3300X
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Taxonomy Name | Pain Clinic/Center
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License Number | C1-0006413
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License Number State | DE
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