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General NPI Number Information
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NPI Number | 1730028630
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Entity Type | Organization
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Legal Business Name | COMPANION HEALTH INC.
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Dates
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Enumeration Date | 03/26/2026
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Last Update Date | 03/26/2026
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Provider Practice Location Address
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Address Line | 8208 LAMMTARRA CIR
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City | BOERNE
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State | TX
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Zip | 78015-4284
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Country | US
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Telephone | 301-461-5062
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Fax |
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Provider Business Mailing Address
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Address Line | 56 BROAD ST STE 79338
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City | BOSTON
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State | MA
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Zip | 02109-4301
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. FITZHUGH REESE
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Credential |
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Telephone | 301-461-5062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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License Number |
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License Number State |
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