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General NPI Number Information
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NPI Number | 1992420699
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Entity Type | Organization
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Legal Business Name | COMPASSIONATE CARE AGENCY LLC.
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Dates
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Enumeration Date | 10/05/2022
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Last Update Date | 08/03/2023
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Provider Practice Location Address
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Address Line | 1650 S DIXIE HWY STE 200B
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City | BOCA RATON
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State | FL
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Zip | 33432-7461
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Country | US
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Telephone | 954-669-4075
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Fax |
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Provider Business Mailing Address
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Address Line | 1650 S DIXIE HWY STE 200B
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City | BOCA RATON
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State | FL
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Zip | 33432-7461
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Country | US
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Telephone | 954-669-4075
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Fax |
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Authorized Official
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Title or Position | OFFICER
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Name | MISS DEANDRA BAILEY
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Credential |
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Telephone | 754-281-4537
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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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