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General NPI Number Information
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NPI Number | 1356920326
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Entity Type | Organization
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Legal Business Name | COMPANION CARE HOME CARE LLC
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Dates
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Enumeration Date | 04/06/2021
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Last Update Date | 05/20/2021
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Provider Practice Location Address
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Address Line | 3416 S FEDERAL HWY
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City | DELRAY BEACH
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State | FL
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Zip | 33483-3227
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Country | US
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Telephone | 412-376-7636
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Fax |
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Provider Business Mailing Address
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Address Line | 20120 ROUTE 19 STE 205
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City | CRANBERRY TWP
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State | PA
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Zip | 16066-6210
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FINANCE DIRECTOR
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Name | JACOB ROBINSON
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Credential |
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Telephone | 330-853-9214
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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