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General NPI Number Information
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NPI Number | 1447687397
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Entity Type | Organization
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Legal Business Name | COMPASS INTEGRATED NURSING SERVICES PLLC
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Dates
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Enumeration Date | 10/07/2013
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Last Update Date | 10/07/2013
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Provider Practice Location Address
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Address Line | 3406 OLD BUFFALOE RD
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City | RALEIGH
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State | NC
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Zip | 27604-4290
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Country | US
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Telephone | 919-522-4979
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 41394
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City | RALEIGH
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State | NC
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Zip | 27629-1394
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Country | US
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Telephone | 919-522-4979
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ROSLYN WALKER
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Credential | RN
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Telephone | 919-522-4979
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number | 229215
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License Number State | NC
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