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General NPI Number Information
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NPI Number | 1447762109
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Entity Type | Organization
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Legal Business Name | KOMPASSIONATE KARE LLC
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Dates
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Enumeration Date | 11/02/2017
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Last Update Date | 11/02/2017
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Provider Practice Location Address
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Address Line | 961 CANAL DR
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City | CHESAPEAKE
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State | VA
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Zip | 23323-4766
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Country | US
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Telephone | 757-485-5683
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Fax |
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Provider Business Mailing Address
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Address Line | 961 CANAL DR
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City | CHESAPEAKE
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State | VA
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Zip | 23323-4766
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Country | US
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Telephone | 757-485-5683
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NATASHA OWENS
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Credential |
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Telephone | 757-485-5683
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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 | HCO1749
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License Number State | VA
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Taxonomy #2
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Taxonomy Code | 372600000X
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Taxonomy Name | Adult Companion
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License Number | HCO1749
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License Number State | VA
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Taxonomy #3
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | HCO1749
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License Number State | VA
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Taxonomy #4
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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License Number | HCO1749
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License Number State | VA
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Taxonomy #5
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number | HCO1749
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License Number State | VA
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