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General NPI Number Information
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NPI Number | 1508519059
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Entity Type | Organization
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Legal Business Name | A & J COMPASSIONATE CARE, LLC
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Dates
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Enumeration Date | 02/03/2022
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Last Update Date | 03/18/2022
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Provider Practice Location Address
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Address Line | 8319 42ND AVE N
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City | ST PETERSBURG
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State | FL
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Zip | 33709-3946
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Country | US
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Telephone | 813-898-3059
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Fax |
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Provider Business Mailing Address
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Address Line | 1735 JEFFORDS ST
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City | CLEARWATER
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State | FL
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Zip | 33756-4560
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Country | US
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Telephone | 813-898-3059
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | JOCELYN BANDOLA
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Credential |
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Telephone | 813-898-3059
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QD1600X
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Taxonomy Name | Developmental Disabilities Clinic/Center
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License Number |
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License Number State |
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