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General NPI Number Information
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NPI Number | 1992165625
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE WORKS LLC
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Dates
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Enumeration Date | 02/23/2016
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Last Update Date | 02/23/2016
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Provider Practice Location Address
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Address Line | 1046 HALLMARK RD
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City | BIRMINGHAM
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State | AL
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Zip | 35214-2722
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Country | US
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Telephone | 205-582-9926
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Fax | 205-518-0244
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Provider Business Mailing Address
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Address Line | 210 FIELDSTOWN RD SUITE 100 #475
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City | GARDENDALE
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State | AL
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Zip | 35071-2408
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Country | US
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Telephone | 205-582-9926
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Fax | 205-518-0244
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Authorized Official
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Title or Position | OWNER
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Name | VERONICA MONETA WALLACE
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Credential |
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Telephone | 205-607-7143
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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