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General NPI Number Information
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NPI Number | 1669627402
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE COUNSELING, LLC
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Dates
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Enumeration Date | 11/20/2008
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Last Update Date | 11/20/2008
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Provider Practice Location Address
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Address Line | 402 LEE TER
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City | WILMINGTON
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State | DE
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Zip | 19803-1813
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Country | US
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Telephone | 610-209-7156
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Fax |
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Provider Business Mailing Address
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Address Line | 402 LEE TER
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City | WILMINGTON
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State | DE
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Zip | 19803-1813
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Country | US
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Telephone | 610-209-7156
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. AILEEN JOAN MCCABE-MAUCHER
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Credential | LCSW
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Telephone | 610-209-7156
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | Q1-0000801
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License Number State | DE
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