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General NPI Number Information
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NPI Number | 1902236284
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE HANDS PERSONAL CARE
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Dates
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Enumeration Date | 11/22/2013
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Last Update Date | 11/22/2013
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Provider Practice Location Address
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Address Line | 229 DEEP SOUTH RD
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City | SENOIA
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State | GA
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Zip | 30276
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Country | US
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Telephone | 404-275-6744
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Fax | 770-991-9768
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Provider Business Mailing Address
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Address Line | PO BOX 741373
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City | RIVERDALE
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State | GA
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Zip | 30274-1325
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Country | US
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Telephone | 404-275-6744
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Fax | 770-991-9768
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Authorized Official
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Title or Position | MANAGER
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Name | PRISCILLA JANE THOMPSON
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Credential |
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Telephone | 404-274-6744
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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Taxonomy #4
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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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