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General NPI Number Information
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NPI Number | 1285882639
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Entity Type | Organization
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Legal Business Name | COMPASSION FAMILY HEALTHCARE, LLC
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Dates
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Enumeration Date | 08/28/2008
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Last Update Date | 08/28/2008
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Provider Practice Location Address
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Address Line | 3441 W NORTH AVE
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City | CHICAGO
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State | IL
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Zip | 60647-4841
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Country | US
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Telephone | 773-772-6418
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Fax | 773-772-7360
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Provider Business Mailing Address
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Address Line | 2332 W SUPERIOR ST FL 2
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City | CHICAGO
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State | IL
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Zip | 60612-1212
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Country | US
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Telephone | 773-227-4003
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Fax | 773-772-7360
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Authorized Official
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Title or Position | MANAGER
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Name | DR. ASMAMAW KASSIE BEYENE
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Credential | MD
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Telephone | 773-227-4003
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number | 36.119662
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License Number State | IL
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