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General NPI Number Information
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NPI Number | 1275933103
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Entity Type | Organization
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Legal Business Name | COMASSION HOME CARE, LLC
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Dates
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Enumeration Date | 08/28/2014
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Last Update Date | 08/28/2014
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Provider Practice Location Address
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Address Line | 1019 ADMIRAL BLVD
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City | KANSAS CITY
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State | MO
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Zip | 64106
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Country | US
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Telephone | 816-521-9015
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Fax | 877-203-2141
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Provider Business Mailing Address
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Address Line | 1019 ADMIRAL BLVD
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City | KANSAS CITY
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State | MO
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Zip | 64106-1520
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Country | US
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Telephone | 816-521-9015
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Fax | 877-203-2141
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MR. SANI BEDRI AHMED
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Credential |
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Telephone | 816-521-9015
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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 | MO
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