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General NPI Number Information
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NPI Number | 1871947077
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Entity Type | Organization
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Legal Business Name | COMPRECARE LYMPHATICS, LLC
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Dates
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Enumeration Date | 04/14/2016
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Last Update Date | 10/21/2016
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Provider Practice Location Address
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Address Line | 709 EASTON RD SUITE 1 SOUTH
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City | WILLOW GROVE
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State | PA
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Zip | 19090-2069
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Country | US
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Telephone | 215-659-1137
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Fax | 215-659-1147
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Provider Business Mailing Address
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Address Line | 1849 AMBLER RD
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City | ABINGTON
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State | PA
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Zip | 19001-2701
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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 | OWNER/PRACTITIONER
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Name | MRS. KRISTIN LAW
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Credential | OTR/L, CLT, WCC
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Telephone | 267-980-2306
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM2500X
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Taxonomy Name | Medical Specialty Clinic/Center
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License Number | OC009781
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License Number State | PA
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