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General NPI Number Information
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NPI Number | 1063965150
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE NURSE PRACTITIONERS LLC
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Dates
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Enumeration Date | 07/26/2016
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Last Update Date | 07/26/2016
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Provider Practice Location Address
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Address Line | 31095 WOLF RD
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City | BAY VILLAGE
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State | OH
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Zip | 44140-1661
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Country | US
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Telephone | 440-476-4485
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Fax |
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Provider Business Mailing Address
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Address Line | 31095 WOLF RD
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City | BAY VILLAGE
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State | OH
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Zip | 44140-1661
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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 | PRESIDENT
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Name | PETER HOLMES
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Credential |
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Telephone | 440-476-4485
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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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