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General NPI Number Information
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NPI Number | 1396531877
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Entity Type | Organization
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Legal Business Name | CARE COMPASSION CENTER CORP
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Dates
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Enumeration Date | 04/19/2025
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Last Update Date | 04/19/2025
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Provider Practice Location Address
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Address Line | 15730 MOK AVE
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City | EASTPOINTE
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State | MI
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Zip | 48021-2367
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Country | US
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Telephone | 586-241-7088
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Fax |
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Provider Business Mailing Address
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Address Line | 15730 MOK AVE
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City | EASTPOINTE
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State | MI
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Zip | 48021-2367
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Country | US
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Telephone | 586-241-7088
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DIONNE LANETTE WALLACE
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Credential | REGISTERED NURSE
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Telephone | 586-241-7088
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YA0400X
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Taxonomy Name | Addiction (Substance Use Disorder) Counselor
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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 | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 163WD0400X
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Taxonomy Name | Diabetes Educator Registered Nurse
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #7
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Taxonomy Code | 261QA0600X
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Taxonomy Name | Adult Day Care Clinic/Center
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License Number |
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License Number State |
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