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NPI 1053909101

NPI 1053909101 : COMFORT ANGELS CARE INC. : TAMPA, FL

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General NPI Number Information
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    NPI Number           |    1053909101
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    Entity Type          |    Organization 
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    Legal Business Name  |    COMFORT ANGELS CARE INC. 
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Dates
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    Enumeration Date     |    01/05/2021
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    Last Update Date     |    01/05/2021
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Provider Practice Location Address
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    Address Line         |    8506 GOLD RIDGE CIR 
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33619-4931
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    Country              |    US
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    Telephone            |    813-758-2057
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    8506 GOLD RIDGE CIR 
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    City                 |    TAMPA
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    State                |    FL
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    Zip                  |    33619-4931
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    Country              |    US
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    Telephone            |    813-758-2057
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |     LAKINA S SCOTT 
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    Credential           |    
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    Telephone            |    813-758-2057
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    376J00000X
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    Taxonomy Name        |    Homemaker
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    License Number       |    
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    License Number State |    
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