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General NPI Number Information
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NPI Number | 1457593147
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Entity Type | Organization
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Legal Business Name | COMPASSION PERSONAL CARE, LLC
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Dates
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Enumeration Date | 03/27/2009
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Last Update Date | 03/27/2009
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Provider Practice Location Address
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Address Line | 11381 LEMONWOOD DR
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-6084
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Country | US
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Telephone | 225-667-1792
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Fax | 225-667-9103
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Provider Business Mailing Address
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Address Line | 11381 LEMONWOOD DR
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City | DENHAM SPRINGS
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State | LA
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Zip | 70726-6084
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Country | US
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Telephone | 225-667-1792
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Fax | 225-667-9103
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Authorized Official
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Title or Position | OWNER
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Name | MRS. TAMMY FOSTER GARDNER
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Credential |
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Telephone | 225-667-1792
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number | 2656940001
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License Number State | LA
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