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General NPI Number Information
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NPI Number | 1326296831
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE CARE HOME HEALTH, LLC
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Dates
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Enumeration Date | 09/09/2008
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Last Update Date | 09/09/2008
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Provider Practice Location Address
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Address Line | 572 BARBOUR ST
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City | NORTH ADAMS
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State | MA
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Zip | 01247-3108
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Country | US
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Telephone | 413-664-7197
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Fax |
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Provider Business Mailing Address
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Address Line | 572 BARBOUR ST
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City | NORTH ADAMS
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State | MA
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Zip | 01247-3108
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Country | US
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Telephone | 413-664-7197
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Fax |
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Authorized Official
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Title or Position | OWNER/REGISTERED NURSE
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Name | MRS. NICHOLE CATHERINE MORAN
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Credential | RN
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Telephone | 413-664-7197
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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 | TA173A31958725
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License Number State | MA
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