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General NPI Number Information
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NPI Number | 1740006840
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Entity Type | Organization
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Legal Business Name | COMPASSION ON THE GO HEALTHCARE LLC
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Dates
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Enumeration Date | 11/23/2024
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Last Update Date | 12/14/2024
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Provider Practice Location Address
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Address Line | 4500 MERCANTILE PLAZA DR STE 300
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City | FORT WORTH
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State | TX
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Zip | 76137-4206
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Country | US
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Telephone | 214-899-9590
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Fax | 864-428-0330
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Provider Business Mailing Address
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Address Line | 4500 MERCANTILE PLAZA DR STE 300
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City | FORT WORTH
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State | TX
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Zip | 76137-4206
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Country | US
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Telephone | 214-899-9590
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Fax | 864-428-0330
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Authorized Official
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Title or Position | APRN
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Name | MARSHEIKA FILER
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Credential | NP
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Telephone | 214-899-9590
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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