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General NPI Number Information
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NPI Number | 1730842154
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Entity Type | Organization
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Legal Business Name | COMPANION HOME CARE
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Dates
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Enumeration Date | 10/21/2021
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Last Update Date | 10/21/2021
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Provider Practice Location Address
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Address Line | 390 W CATALINA DR STE 2
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City | YUMA
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State | AZ
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Zip | 85364-8254
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Country | US
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Telephone | 928-395-5575
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Fax | 928-255-5500
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Provider Business Mailing Address
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Address Line | 390 W CATALINA DR STE 2
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City | YUMA
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State | AZ
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Zip | 85364-8254
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Country | US
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Telephone | 928-395-5575
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Fax | 928-255-5500
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Authorized Official
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Title or Position | DIRECTOR
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Name | JOSEPH FRANK RAMIREZ
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Credential | MBA
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Telephone | 928-446-7239
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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