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General NPI Number Information
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NPI Number | 1619320652
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Entity Type | Organization
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Legal Business Name | COMPASSION COUNSELING
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Dates
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Enumeration Date | 07/14/2016
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Last Update Date | 07/14/2016
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Provider Practice Location Address
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Address Line | 331 W BROADWAY AVE
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City | MARYVILLE
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State | TN
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Zip | 37801-4707
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Country | US
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Telephone | 865-724-2325
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Fax | 865-724-2326
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Provider Business Mailing Address
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Address Line | 331 W BROADWAY AVE
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City | MARYVILLE
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State | TN
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Zip | 37801-4707
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Country | US
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Telephone | 865-724-2325
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Fax | 865-724-2326
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | LAKSHMIE L NAPAGODA
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Credential | LCSW
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Telephone | 865-724-2325
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | 4635
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License Number State | TN
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