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General NPI Number Information
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NPI Number | 1366366924
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE CARE PSYCHIATRIC SERVICES INC
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Dates
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Enumeration Date | 08/06/2026
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Last Update Date | 08/06/2026
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Provider Practice Location Address
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Address Line | 115 E GRANADA BLVD STE 1
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City | ORMOND BEACH
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State | FL
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Zip | 32176-6634
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Country | US
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Telephone | 386-265-1441
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Fax | 386-265-4066
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Provider Business Mailing Address
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Address Line | 115 E GRANADA BLVD STE 1
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City | ORMOND BEACH
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State | FL
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Zip | 32176-6634
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Country | US
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Telephone | 386-265-1441
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Fax | 386-265-4066
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ROCHELLE CANNON
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Credential |
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Telephone | 386-265-1441
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2084P0800X
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Taxonomy Name | Psychiatry Physician
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License Number |
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License Number State |
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