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General NPI Number Information
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NPI Number | 1629396080
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE HOME CARE
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Dates
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Enumeration Date | 05/11/2010
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Last Update Date | 05/11/2010
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Provider Practice Location Address
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Address Line | 2400 VALLEY AVE SUITE 15
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City | WINCHESTER
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State | VA
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Zip | 22601-2765
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Country | US
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Telephone | 540-514-4385
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Fax |
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Provider Business Mailing Address
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Address Line | 2400 VALLEY AVE SUITE 15
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City | WINCHESTER
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State | VA
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Zip | 22601-2765
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Country | US
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Telephone | 540-514-4385
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MS. DELCENIA F MASON
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Credential |
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Telephone | 540-514-4385
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 00013319
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License Number State | VA
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