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General NPI Number Information
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NPI Number | 1548263197
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE CARE HOSPICE LLC
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Dates
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Enumeration Date | 05/27/2005
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 618 NW 32ND ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73118-7343
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Country | US
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Telephone | 405-948-4357
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Fax | 405-605-2276
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Provider Business Mailing Address
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Address Line | 618 NW 32ND ST
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City | OKLAHOMA CITY
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State | OK
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Zip | 73118-7343
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Country | US
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Telephone | 405-948-4357
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Fax | 405-605-2276
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MICKEY JEAN KEY
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Credential |
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Telephone | 405-948-4357
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 4148
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License Number State | OK
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