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General NPI Number Information
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NPI Number | 1619843414
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Entity Type | Organization
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Legal Business Name | COMPASSIONCARE OF HENDERSON LLC
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Dates
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Enumeration Date | 10/17/2025
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Last Update Date | 10/17/2025
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Provider Practice Location Address
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Address Line | 205 NEWBURG AVE
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City | N LAS VEGAS
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State | NV
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Zip | 89032-1106
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Country | US
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Telephone | 781-298-1906
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Fax | 503-296-2937
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Provider Business Mailing Address
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Address Line | 205 NEWBURG AVE
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City | N LAS VEGAS
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State | NV
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Zip | 89032-1106
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Country | US
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Telephone |
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Fax | 503-296-2937
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Authorized Official
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Title or Position | DIRECTOR
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Name | MR. GILBERT BAGUMA
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Credential |
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Telephone | 781-298-7812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number |
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License Number State |
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