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General NPI Number Information
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NPI Number | 1770857922
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Entity Type | Organization
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Legal Business Name | COMPASSION COUNSELING INC.
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Dates
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Enumeration Date | 03/06/2012
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Last Update Date | 03/06/2012
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Provider Practice Location Address
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Address Line | 2435 KIMBERLY RD SUITE 155
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City | BETTENDORF
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State | IA
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Zip | 52722-3509
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Country | US
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Telephone | 563-359-7625
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Fax | 563-459-0494
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Provider Business Mailing Address
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Address Line | 2435 KIMBERLY RD SUITE 155
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City | BETTENDORF
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State | IA
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Zip | 52722-3509
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Country | US
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Telephone | 563-359-7625
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Fax | 563-459-0494
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JANET L HUBER
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Credential |
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Telephone | 563-359-7625
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number | W00776367
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License Number State | IA
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Taxonomy #2
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | W00776367
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License Number State | IA
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