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General NPI Number Information
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NPI Number | 1568055457
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Entity Type | Organization
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Legal Business Name | COMPASSION DOCS LLC
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Dates
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Enumeration Date | 02/11/2021
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 3787 JACAMAR DR
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City | FLAGSTAFF
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State | AZ
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Zip | 86004-4068
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Country | US
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Telephone | 520-603-4340
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Fax | 505-372-0113
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Provider Business Mailing Address
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Address Line | 8100 WYOMING BLVD NE STE M-4302
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City | ALBUQUERQUE
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State | NM
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Zip | 87113-1946
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Country | US
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Telephone | 520-603-4340
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Fax | 505-372-0113
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Authorized Official
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Title or Position | OWNER
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Name | CAROL JEAN SIMPSON
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Credential | APRN-CNP
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Telephone | 520-603-4340
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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