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NPI 1568814754

NPI 1568814754 : COMPASSIONATE CARING SERVICES : AIKEN, SC

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General NPI Number Information
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    NPI Number           |    1568814754
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    Entity Type          |    Organization 
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    Legal Business Name  |    COMPASSIONATE CARING SERVICES 
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Dates
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    Enumeration Date     |    07/12/2016
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    Last Update Date     |    07/12/2016
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Provider Practice Location Address
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    Address Line         |    130 WATERLOO ST SW 
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    City                 |    AIKEN
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    State                |    SC
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    Zip                  |    29801-3763
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    Country              |    US
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    Telephone            |    706-244-3999
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    22 HAYES DR 
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    City                 |    NORTH AUGUSTA
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    State                |    SC
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    Zip                  |    29860-8319
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    Country              |    US
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    Telephone            |    706-244-3999
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    Fax                  |    
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Authorized Official
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    Title or Position    |    VICE PRESIDENT
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    Name                 |    MR. JASON  PADGETT 
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    Credential           |    
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    Telephone            |    803-206-7328
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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       |    
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    License Number State |    
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