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General NPI Number Information
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NPI Number | 1841575107
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Entity Type | Organization
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Legal Business Name | COMPASS HEALTH SERVICES INC
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Dates
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Enumeration Date | 10/19/2011
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Last Update Date | 08/15/2012
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Provider Practice Location Address
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Address Line | 1839 PEARL RD
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City | BRUNSWICK
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State | OH
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Zip | 44212-3256
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Country | US
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Telephone | 440-554-6443
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Fax |
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Provider Business Mailing Address
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Address Line | 1839 PEARL RD
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City | BRUNSWICK
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State | OH
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Zip | 44212-3256
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Country | US
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Telephone | 440-554-6443
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Fax |
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Authorized Official
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Title or Position | MENTAL HEALTH THERAPIST
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Name | MR. CHADWICK SUNDAY
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Credential | MA,LPCC-S
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Telephone | 440-554-6443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YP2500X
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Taxonomy Name | Professional Counselor
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License Number | E 0004235
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License Number State | OH
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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 | E 0008350
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License Number State | OH
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