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NPI 1457285868

NPI 1457285868 : COMPASSIONATE COMMUNITY COMPLEX : HAMPTON, VA

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General NPI Number Information
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    NPI Number           |    1457285868
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    Entity Type          |    Organization 
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    Legal Business Name  |    COMPASSIONATE COMMUNITY COMPLEX 
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Dates
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    Enumeration Date     |    06/10/2026
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    Last Update Date     |    06/10/2026
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Provider Practice Location Address
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    Address Line         |    210 DOWNES ST 
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    City                 |    HAMPTON
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    State                |    VA
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    Zip                  |    23663-1813
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    Country              |    US
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    Telephone            |    443-310-5573
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    Fax                  |    443-310-5573
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Provider Business Mailing Address
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    Address Line         |    210 DOWNES ST 
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    City                 |    HAMPTON
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    State                |    VA
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    Zip                  |    23663-1813
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    Country              |    US
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    Telephone            |    443-310-5573
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    Fax                  |    443-310-5573
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     COURTNEY D JOYNER 
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    Credential           |    LMSW
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    Telephone            |    443-310-5573
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    320900000X
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    Taxonomy Name        |    Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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    License Number       |    
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    License Number State |    
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