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General NPI Number Information
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NPI Number | 1811445109
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Entity Type | Organization
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Legal Business Name | COMPASSION HOME HEALTH CARE LLC
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Dates
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Enumeration Date | 09/14/2016
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Last Update Date | 12/21/2017
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Provider Practice Location Address
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Address Line | 1815 SUBURBAN AVE
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City | SAINT PAUL
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State | MN
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Zip | 55119-4302
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Country | US
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Telephone | 612-424-2446
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Fax |
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Provider Business Mailing Address
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Address Line | 1815 SUBURBAN AVE STE 103
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City | SAINT PAUL
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State | MN
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Zip | 55119-4302
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Country | US
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Telephone | 612-424-2446
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | IAN NYAGA KAMUNDI
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Credential | R.N
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Telephone | 651-442-8095
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State | MN
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