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General NPI Number Information
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NPI Number | 1992199780
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Entity Type | Organization
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Legal Business Name | COMPASS HOME CARE AGENCY INC.
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Dates
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Enumeration Date | 03/19/2015
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Last Update Date | 03/19/2015
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Provider Practice Location Address
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Address Line | 112 LOCKART PLZ
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City | PHILADELPHIA
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State | PA
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Zip | 19116-3128
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Country | US
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Telephone | 267-243-0614
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Fax |
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Provider Business Mailing Address
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Address Line | 112 LOCKART PLZ
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City | PHILADELPHIA
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State | PA
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Zip | 19116-3128
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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 | ANDRIY PUPIN
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Credential |
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Telephone | 267-243-0614
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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 |
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Taxonomy #2
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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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Taxonomy #3
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Taxonomy Code | 347C00000X
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Taxonomy Name | Private Vehicle
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License Number |
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License Number State |
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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 |
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