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General NPI Number Information
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NPI Number | 1639493067
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Entity Type | Organization
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Legal Business Name | COMPASSION NURSING AGENCY II
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Dates
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Enumeration Date | 03/14/2010
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Last Update Date | 03/14/2010
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Provider Practice Location Address
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Address Line | 1842 OLYMPUS DR
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City | LANCASTER
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State | TX
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Zip | 75134-4195
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Country | US
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Telephone | 214-780-7989
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Fax | 972-228-2741
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Provider Business Mailing Address
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Address Line | 1842 OLYMPUS DR
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City | LANCASTER
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State | TX
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Zip | 75134-4195
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Country | US
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Telephone | 214-780-7989
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Fax | 972-228-2741
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Authorized Official
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Title or Position | CAREGIVER
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Name | MRS. SECQULI ROCHELLE GREENE
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Credential |
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Telephone | 214-780-7989
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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 |
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License Number State |
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