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General NPI Number Information
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NPI Number | 1538050836
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Entity Type | Organization
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Legal Business Name | COMPASSPOINT HEALTH
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Dates
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Enumeration Date | 07/14/2025
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Last Update Date | 07/14/2025
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Provider Practice Location Address
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Address Line | 1401 21ST ST STE R
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City | SACRAMENTO
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State | CA
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Zip | 95811-5226
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Country | US
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Telephone | 916-964-2767
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Fax | 570-535-3563
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Provider Business Mailing Address
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Address Line | 11 PHELPS PL
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City | STATEN ISLAND
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State | NY
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Zip | 10301-1604
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Country | US
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Telephone | 917-378-2525
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Fax | 570-535-3563
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Authorized Official
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Title or Position | CEO
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Name | MR. GARY EMERSON BRANT
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Credential |
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Telephone | 916-964-2767
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 305S00000X
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Taxonomy Name | Point of Service
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License Number |
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License Number State |
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