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General NPI Number Information
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NPI Number | 1770951493
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE HOME HEALTHCARE SERVICES, LLC
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Dates
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Enumeration Date | 09/11/2015
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Last Update Date | 09/11/2015
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Provider Practice Location Address
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Address Line | 1637 JANKE RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-3419
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Country | US
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Telephone | 757-961-8816
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Fax | 757-961-8816
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Provider Business Mailing Address
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Address Line | 1637 JANKE RD
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City | VIRGINIA BEACH
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State | VA
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Zip | 23455-3419
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Country | US
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Telephone | 757-961-8816
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Fax | 757-961-8816
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. JOHN PATRICK MITCHELL SR.
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Credential |
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Telephone | 301-325-3721
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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 | 150725-0000-8050
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License Number State | VA
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