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General NPI Number Information
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NPI Number | 1053023044
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Entity Type | Organization
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Legal Business Name | COMFORT ZONE HEALTHCARE INC
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Dates
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Enumeration Date | 12/21/2022
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Last Update Date | 12/31/2022
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Provider Practice Location Address
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Address Line | 108 HARRISON PL
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City | IRVINGTON
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State | NJ
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Zip | 07111-4359
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Country | US
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Telephone | 240-515-2067
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Fax | 908-793-6500
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Provider Business Mailing Address
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Address Line | 599 STUYVESANT AVE
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City | IRVINGTON
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State | NJ
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Zip | 07111-2404
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Country | US
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Telephone | 240-515-2067
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Fax | 908-793-6500
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Authorized Official
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Title or Position | MD
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Name | MR. NNAEMEKA IRUABUCHI NWOSU
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Credential | CEO
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Telephone | 240-515-2067
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253J00000X
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Taxonomy Name | Foster Care Agency
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License Number |
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Taxonomy #2
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Taxonomy Code | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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Taxonomy #3
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Taxonomy Code | 320600000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Residential Treatment Facility
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