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General NPI Number Information
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NPI Number | 1780927293
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE HANDS LCC
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Dates
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Enumeration Date | 04/03/2013
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Last Update Date | 04/03/2013
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Provider Practice Location Address
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Address Line | 1940 SHARON ST
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City | BOCA RATON
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State | FL
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Zip | 33486-3124
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Country | US
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Telephone | 203-258-9860
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Fax |
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Provider Business Mailing Address
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Address Line | 1940 SHARON ST
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City | BOCA RATON
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State | FL
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Zip | 33486-3124
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Country | US
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Telephone | 203-258-9860
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MR. JAMES L. HANSEN
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Credential |
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Telephone | 203-258-9860
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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 |
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License Number State |
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