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General NPI Number Information
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NPI Number | 1871305748
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE CARE CASE MANAGEMENT
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Dates
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Enumeration Date | 01/27/2025
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Last Update Date | 01/27/2025
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Provider Practice Location Address
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Address Line | 575 MOSSY TRCE
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City | WINDER
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State | GA
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Zip | 30680-8523
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Country | US
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Telephone | 404-454-6380
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Fax | 678-425-9904
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Provider Business Mailing Address
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Address Line | 575 MOSSY TRCE
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City | WINDER
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State | GA
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Zip | 30680-8523
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Country | US
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Telephone | 404-454-6380
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Fax | 678-425-9904
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Authorized Official
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Title or Position | CASE MANAGER/OWNER
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Name | MELINDA DAWN MOTLEY
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Credential | CASE MANAGER/OWNER
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Telephone | 404-454-6380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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