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General NPI Number Information
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NPI Number | 1316557283
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Entity Type | Organization
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Legal Business Name | COMPASSIONS COMPANION CARE, LLC
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Dates
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Enumeration Date | 08/05/2020
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Last Update Date | 06/17/2021
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Provider Practice Location Address
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Address Line | 2372 SE 12TH CT
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City | HOMESTEAD
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State | FL
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Zip | 33035-2150
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Country | US
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Telephone | 786-636-5365
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 343507
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City | HOMESTEAD
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State | FL
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Zip | 33034-0507
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Country | US
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Telephone | 786-554-2284
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Fax | 888-411-2030
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Authorized Official
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Title or Position | OWNER/ ADMINISTRATOR
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Name | MONIQUE STEADMAN
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Credential |
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Telephone | 786-554-2284
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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