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General NPI Number Information
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NPI Number | 1861718504
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Entity Type | Organization
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Legal Business Name | COMPASSION AT HOME
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 04/19/2010
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Provider Practice Location Address
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Address Line | 213 W 17TH ST
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City | ERIE
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State | PA
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Zip | 16502-1855
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Country | US
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Telephone | 814-504-7318
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 368
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City | WESTFIELD
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State | NY
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Zip | 14787-0368
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MARGUERITE RANDALL
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Credential |
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Telephone | 716-753-6245
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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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