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NPI 1912410986

NPI 1912410986 : COMPASSION HEALTH CARE, LLC : SAVAGE, MN

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General NPI Number Information
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    NPI Number           |    1912410986
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    Entity Type          |    Organization 
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    Legal Business Name  |    COMPASSION HEALTH CARE, LLC 
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Dates
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    Enumeration Date     |    11/13/2017
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    Last Update Date     |    11/13/2017
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Provider Practice Location Address
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    Address Line         |    9307 HILLSBORO PL 
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    City                 |    SAVAGE
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    State                |    MN
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    Zip                  |    55378-2548
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    Country              |    US
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    Telephone            |    612-247-1547
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    Fax                  |    952-496-1122
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Provider Business Mailing Address
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    Address Line         |    9307 HILLSBORO PL 
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    City                 |    SAVAGE
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    State                |    MN
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    Zip                  |    55378-2548
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    Country              |    US
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    Telephone            |    612-247-1547
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    Fax                  |    952-496-1122
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Authorized Official
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    Title or Position    |    CFO/TREASURER, SECRETARY
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    Name                 |    MRS. RADA  SHEVSTOV 
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    Credential           |    
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    Telephone            |    612-247-1547
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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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