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General NPI Number Information
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NPI Number | 1689462079
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE CARE CLINIC LLC
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Dates
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Enumeration Date | 04/28/2025
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Last Update Date | 12/17/2025
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Provider Practice Location Address
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Address Line | 60 BRAZELTON ST UNIT 6
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City | SAVANNAH
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State | TN
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Zip | 38372-3080
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Country | US
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Telephone | 731-607-2388
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 58
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City | SAVANNAH
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State | TN
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Zip | 38372-0058
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Country | US
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Telephone | 731-438-3090
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Fax | 731-256-0757
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Authorized Official
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Title or Position | APRN
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Name | BRANDY ROGERS
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Credential | APRN
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Telephone | 731-607-2388
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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