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General NPI Number Information
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NPI Number | 1144325689
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Entity Type | Organization
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Legal Business Name | COMFORT CARE MEDICAL EQUIPMENT, INC
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 07/22/2010
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Provider Practice Location Address
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Address Line | 609 E ATLANTIC BLVD
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City | POMPANO BEACH
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State | FL
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Zip | 33060-6343
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Country | US
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Telephone | 954-491-9500
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Fax | 954-491-9585
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Provider Business Mailing Address
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Address Line | PO BOX 10806
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City | POMPANO BEACH
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State | FL
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Zip | 33061-6806
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Country | US
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Telephone | 954-491-9500
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Fax | 954-491-9585
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Authorized Official
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Title or Position | PRESIDENT
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Name | CAROL J FARDETTE
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Credential |
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Telephone | 954-491-9500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 238
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License Number State | FL
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