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General NPI Number Information
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NPI Number | 1699181800
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Entity Type | Organization
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Legal Business Name | COMPANIONS HOME HEALTHCARE
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Dates
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Enumeration Date | 07/08/2014
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Last Update Date | 08/13/2014
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Provider Practice Location Address
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Address Line | 4811 HARDWARE DR NE STE E-4
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-2023
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Country | US
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Telephone | 505-830-2978
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Fax | 505-830-2988
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Provider Business Mailing Address
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Address Line | 4811 HARDWARE DR NE STE E-4
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City | ALBUQUERQUE
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State | NM
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Zip | 87109-2023
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Country | US
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Telephone | 505-830-2978
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Fax | 505-830-2988
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | ISAAC ANDREW MONK
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Credential | MASTERS IN SOCIAL WO
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Telephone | 505-907-9190
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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