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General NPI Number Information
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NPI Number | 1366260267
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Entity Type | Organization
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Legal Business Name | COMPASS MEDICAL CARE PLLC
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Dates
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Enumeration Date | 09/30/2024
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 2855 CAPITAL AVE SW STE 200
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City | BATTLE CREEK
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State | MI
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Zip | 49015-6105
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Country | US
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Telephone | 810-706-6126
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 343
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City | GRAND BLANC
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State | MI
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Zip | 48480-0343
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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 | OWNER
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Name | SASHA PASCOE
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Credential | FNP-C
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Telephone | 269-217-7351
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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