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General NPI Number Information
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NPI Number | 1417741398
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE CAREGIVING BY AMANDA LLC
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Dates
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Enumeration Date | 04/07/2025
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Last Update Date | 04/07/2025
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Provider Practice Location Address
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Address Line | 560 SYLVAN AVE STE 3160
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-3179
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Country | US
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Telephone | 201-637-1281
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Fax | 866-475-3422
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Provider Business Mailing Address
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Address Line | 560 SYLVAN AVE STE 3160
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City | ENGLEWOOD CLIFFS
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State | NJ
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Zip | 07632-3179
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Country | US
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Telephone | 201-637-1281
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Fax | 866-475-3422
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. CLAIRE AMANDA DESOUZA
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Credential | LPN, CPE
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Telephone | 201-637-1281
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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