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General NPI Number Information
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NPI Number | 1780031336
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE COMPANIONS, LLC
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Dates
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Enumeration Date | 05/24/2016
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Last Update Date | 05/24/2016
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Provider Practice Location Address
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Address Line | 3006 WISTERIA LN
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City | KILLEEN
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State | TX
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Zip | 76549-4961
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Country | US
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Telephone | 254-432-8850
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 690674
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City | KILLEEN
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State | TX
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Zip | 76549-0012
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Country | US
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Telephone | 254-432-8850
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Fax |
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Authorized Official
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Title or Position | MEMBER
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Name | MIRIAH LYNN HEAP
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Credential |
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Telephone | 435-241-9377
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 372500000X
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Taxonomy Name | Chore Provider
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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 | 372600000X
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Taxonomy Name | Adult Companion
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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 | 376G00000X
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Taxonomy Name | Nursing Home Administrator
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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 | 376J00000X
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Taxonomy Name | Homemaker
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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 | 376K00000X
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Taxonomy Name | Nurse's Aide
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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 | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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