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General NPI Number Information
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NPI Number | 1548079114
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Entity Type | Organization
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Legal Business Name | CHRISTIAN COMPANION CARE LLC
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Dates
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Enumeration Date | 01/07/2025
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Last Update Date | 01/07/2025
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Provider Practice Location Address
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Address Line | 635 HIGHWAY 6 E STE B
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City | BATESVILLE
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State | MS
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Zip | 38606-3005
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Country | US
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Telephone | 662-247-1149
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Fax |
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Provider Business Mailing Address
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Address Line | 635 HIGHWAY 6 E STE B
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City | BATESVILLE
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State | MS
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Zip | 38606-3005
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Country | US
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Telephone | 662-247-1149
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. BRIAN BRADLEY
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Credential |
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Telephone | 901-574-8768
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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