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General NPI Number Information
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NPI Number | 1740953033
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE FAMILY AND INDIVIDUAL SERVICES INC
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Dates
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Enumeration Date | 08/01/2021
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Last Update Date | 08/01/2021
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Provider Practice Location Address
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Address Line | 941 MIDWAY
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City | WOODMERE
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State | NY
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Zip | 11598-1549
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Country | US
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Telephone | 347-650-9476
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Fax |
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Provider Business Mailing Address
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Address Line | 941 MIDWAY
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City | WOODMERE
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State | NY
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Zip | 11598-1549
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Country | US
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Telephone | 347-650-9476
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | TY G HOPKINS
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Credential |
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Telephone | 347-650-9476
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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Taxonomy #3
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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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Taxonomy #4
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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