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General NPI Number Information
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NPI Number | 1851118251
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE AND COMPASSIONATE CARE LLC
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Dates
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Enumeration Date | 09/25/2024
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Last Update Date | 09/25/2024
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Provider Practice Location Address
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Address Line | 6043 HUDSON RD STE 140L-A
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City | WOODBURY
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State | MN
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Zip | 55125-1018
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Country | US
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Telephone | 608-566-3694
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Fax | 651-477-8047
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Provider Business Mailing Address
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Address Line | 5298 SUNDIAL LN
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City | WOODBURY
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State | MN
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Zip | 55129-5526
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Country | US
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Telephone | 763-910-3464
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Fax |
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Authorized Official
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Title or Position | ALTERNATE ADMINISTRATOR
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Name | LACMBOUH GHISLAIN ADE
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Credential | MD
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Telephone | 608-566-3694
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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 |
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