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General NPI Number Information
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NPI Number | 1164272597
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Entity Type | Organization
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Legal Business Name | COSNER'S COMFORTABLE CARE, LLC
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Dates
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Enumeration Date | 03/26/2024
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Last Update Date | 03/28/2024
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Provider Practice Location Address
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Address Line | 5002 DOLLARD DR
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City | RICHMOND
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State | VA
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Zip | 23230-2419
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Country | US
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Telephone | 703-939-1518
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Fax |
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Provider Business Mailing Address
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Address Line | 5002 DOLLARD DR
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City | RICHMOND
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State | VA
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Zip | 23230-2419
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Country | US
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Telephone | 703-939-1518
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Fax |
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Authorized Official
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Title or Position | SPONSOR
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Name | CURTIS O SMALLS II
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Credential |
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Telephone | 703-969-1518
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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