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General NPI Number Information
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NPI Number | 1417560350
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Entity Type | Organization
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Legal Business Name | COMPASS HOME CARE SERVICES LLC
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Dates
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Enumeration Date | 08/29/2020
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Last Update Date | 08/29/2020
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Provider Practice Location Address
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Address Line | 20 EDGEWOOD RD
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City | PITTSFIELD
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State | MA
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Zip | 01201-3306
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Country | US
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Telephone | 413-446-7217
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Fax |
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Provider Business Mailing Address
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Address Line | 20 EDGEWOOD RD
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City | PITTSFIELD
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State | MA
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Zip | 01201-3306
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Country | US
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Telephone | 413-446-7217
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Fax |
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Authorized Official
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Title or Position | SOCIAL WORKER AND NURSE
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Name | KHADEEJAH HASSAN
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Credential | LICSW, LPN
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Telephone | 413-446-7217
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 164W00000X
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Taxonomy Name | Licensed Practical Nurse
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License Number |
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License Number State |
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