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General NPI Number Information
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NPI Number | 1689889396
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Entity Type | Organization
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Legal Business Name | COMPASSION COUNSELING SERVICES
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Dates
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Enumeration Date | 05/14/2007
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Last Update Date | 03/10/2008
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Provider Practice Location Address
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Address Line | 1590-01 CONSTITUTION BLVD BLDG C
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City | ROCK HILL
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State | SC
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Zip | 29732-3004
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Country | US
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Telephone | 803-329-6161
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Fax | 803-328-8840
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Provider Business Mailing Address
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Address Line | PO BOX 37652
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City | ROCK HILL
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State | SC
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Zip | 29732-0528
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Country | US
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Telephone | 803-329-6161
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Fax | 803-328-8840
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Authorized Official
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Title or Position | CSW
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Name | JAMES R. MCSPADDEN JR.
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Credential |
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Telephone | 803-329-6161
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 106H00000X
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Taxonomy Name | Marriage & Family Therapist
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License Number | 158
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License Number State | SC
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Taxonomy #2
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Taxonomy Code | 104100000X
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Taxonomy Name | Social Worker
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License Number | 325
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License Number State | SC
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