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General NPI Number Information
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NPI Number | 1619860657
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 05/29/2025
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Last Update Date | 05/29/2025
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Provider Practice Location Address
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Address Line | 202 CENTRAL ST STE 4
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City | LOWELL
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State | MA
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Zip | 01852-2236
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Country | US
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Telephone | 978-662-1056
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Fax |
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Provider Business Mailing Address
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Address Line | 210 AMESBURY ST
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City | DRACUT
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State | MA
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Zip | 01826-5648
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Country | US
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Telephone | 978-662-1056
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Fax |
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Authorized Official
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Title or Position | PMHNP
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Name | RAHIMETOU MBOUOMBOUO
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Credential |
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Telephone | 978-662-1056
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 364SP0808X
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Taxonomy Name | Psychiatric/Mental Health Clinical Nurse Specialist
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License Number |
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License Number State |
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