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General NPI Number Information
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NPI Number | 1972326981
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Entity Type | Organization
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Legal Business Name | COMPASSION HOME CARE, LLC
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Dates
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Enumeration Date | 11/07/2024
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Last Update Date | 11/07/2024
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Provider Practice Location Address
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Address Line | 5575 GROVE POINT RD
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City | ALPHARETTA
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State | GA
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Zip | 30022-5635
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Country | US
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Telephone | 404-432-5590
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Fax | 678-786-9923
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Provider Business Mailing Address
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Address Line | 10945 STATE BRIDGE RD STE 401-289
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City | ALPHARETTA
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State | GA
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Zip | 30022-8164
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Country | US
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Telephone | 404-432-5590
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Fax | 678-786-9923
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | LESLIE HETTENBACH
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Credential |
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Telephone | 404-432-5590
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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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