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General NPI Number Information
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NPI Number | 1578966404
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Entity Type | Organization
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Legal Business Name | COMPASSION HOME HEALTH
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Dates
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Enumeration Date | 10/07/2014
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Last Update Date | 10/07/2014
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Provider Practice Location Address
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Address Line | 1528 LAWNDALE AVENUE
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City | GREENSBORO
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State | NC
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Zip | 27400-0415
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Country | US
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Telephone | 336-809-1617
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 16415
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City | GREENSBORO
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State | NC
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Zip | 27416-0415
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Country | US
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Telephone | 336-809-1617
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. JACQUELINE NONE DAVIS
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Credential | CERTIFIED NURSE AIDE
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Telephone | 336-809-1617
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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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