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General NPI Number Information
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NPI Number | 1578121554
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE ADULT CARE
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Dates
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Enumeration Date | 06/04/2019
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Last Update Date | 06/04/2019
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Provider Practice Location Address
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Address Line | 101 POINTER DR
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City | ANGIER
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State | NC
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Zip | 27501-5495
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Country | US
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Telephone | 919-824-2245
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Fax |
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Provider Business Mailing Address
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Address Line | 101 POINTER DR
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City | ANGIER
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State | NC
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Zip | 27501-5495
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Country | US
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Telephone | 919-824-2245
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | CAROLYN ANDERSEN
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Credential | RN, MSN
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Telephone | 919-824-2245
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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