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General NPI Number Information
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NPI Number | 1942634399
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE CARE ADVANTAGE, LLC
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Dates
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Enumeration Date | 08/21/2013
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Last Update Date | 05/06/2015
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Provider Practice Location Address
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Address Line | 50 JONES AVE
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City | DORCHESTER
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State | MA
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Zip | 02124-4128
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Country | US
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Telephone | 617-318-8617
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Fax |
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Provider Business Mailing Address
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Address Line | 50 JONES AVE
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City | DORCHESTER
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State | MA
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Zip | 02124-4128
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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
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Name | MARIA SALMON
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Credential |
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Telephone | 617-318-8617
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State | MA
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Taxonomy #2
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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 | MA
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Taxonomy #3
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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 | MA
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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 | MA
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