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General NPI Number Information
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NPI Number | 1053769216
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Entity Type | Organization
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Legal Business Name | COMFORT PERSONAL CARE SERVICES, LLC
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Dates
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Enumeration Date | 05/28/2016
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Last Update Date | 01/21/2020
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Provider Practice Location Address
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Address Line | 118 E DAKOTA ST
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City | MILWAUKEE
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State | WI
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Zip | 53207-6413
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Country | US
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Telephone | 414-226-6458
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Fax | 414-226-6458
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Provider Business Mailing Address
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Address Line | 118 E DAKOTA ST
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City | MILWAUKEE
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State | WI
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Zip | 53207-6413
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Country | US
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Telephone | 414-226-6257
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Fax | 414-226-6499
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Authorized Official
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Title or Position | CEO
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Name | MR. KAO VANG
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Credential |
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Telephone | 414-299-0734
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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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