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General NPI Number Information
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NPI Number | 1598815912
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Entity Type | Organization
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Legal Business Name | PROJECT COMPASSION HEALTH
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Dates
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Enumeration Date | 01/10/2007
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Last Update Date | 07/24/2019
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Provider Practice Location Address
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Address Line | 33600 LUTHER LN
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City | LIVONIA
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State | MI
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Zip | 48154-5477
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Country | US
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Telephone | 734-421-6564
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Fax | 734-524-9379
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Provider Business Mailing Address
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Address Line | 4100 PIER NORTH BLVD
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City | FLINT
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State | MI
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Zip | 48504
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Country | US
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Telephone | 989-262-7389
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Fax | 989-652-3929
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Authorized Official
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Title or Position | SVP/CFO
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Name | AMY E STORMS
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Credential |
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Telephone | 989-262-7389
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BN1400X
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Taxonomy Name | Nursing Facility Supplies (DME)
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License Number | 824028
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License Number State | MI
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Taxonomy #2
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number | 824028
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License Number State | MI
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