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General NPI Number Information
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NPI Number | 1376648592
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Entity Type | Organization
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Legal Business Name | COMPASS HEALTHCARE INC
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 12/13/2010
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Provider Practice Location Address
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Address Line | 5667 PEACHTREE DUNWOODY RD NE SUITE 170
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City | ATLANTA
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State | GA
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Zip | 30342-1725
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Country | US
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Telephone | 404-252-9064
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Fax |
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Provider Business Mailing Address
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Address Line | 9301 DIELMAN INDUSTRIAL DR
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City | SAINT LOUIS
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State | MO
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Zip | 63132-2204
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Country | US
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Telephone | 314-997-8889
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Fax |
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Authorized Official
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Title or Position | VP-CFO
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Name | DANIEL K LANE JR.
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Credential |
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Telephone | 314-997-8889
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 20009402357
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License Number State | GA
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