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General NPI Number Information
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NPI Number | 1962834820
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Entity Type | Organization
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Legal Business Name | CARING & COMPASSIONATE HEALTHCARE AGENCY LLC
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Dates
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Enumeration Date | 08/02/2013
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Last Update Date | 08/11/2015
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Provider Practice Location Address
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Address Line | 921 4TH AVE STE 6
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City | WORTHINGTON
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State | MN
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Zip | 56187-2372
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Country | US
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Telephone | 507-329-3531
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Fax | 507-343-0076
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Provider Business Mailing Address
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Address Line | 921 4TH AVE STE 6
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City | WORTHINGTON
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State | MN
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Zip | 56187-2372
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Country | US
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Telephone | 507-343-0077
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Fax | 507-343-0076
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | MS. REMONA LYSA BROWN
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Credential | RN
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Telephone | 507-329-3531
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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