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NPI 1447122247

NPI 1447122247 : COMPASSIONATE COMPANIONS : SAN TAN VALLEY, AZ

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General NPI Number Information
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    NPI Number           |    1447122247
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    Entity Type          |    Organization 
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    Legal Business Name  |    COMPASSIONATE COMPANIONS 
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Dates
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    Enumeration Date     |    09/22/2025
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    Last Update Date     |    09/22/2025
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Provider Practice Location Address
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    Address Line         |    28272 N CASTLE ROCK DR 
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    City                 |    SAN TAN VALLEY
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    State                |    AZ
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    Zip                  |    85143-6780
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    Country              |    US
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    Telephone            |    520-752-2776
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    28272 N CASTLE ROCK DR 
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    City                 |    SAN TAN VALLEY
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    State                |    AZ
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    Zip                  |    85143-6780
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    Country              |    US
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    Telephone            |    520-752-2776
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MR. KATO  LEWIS 
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    Credential           |    
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    Telephone            |    520-752-2776
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    
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    License Number State |    
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