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General NPI Number Information
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NPI Number | 1174239107
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Entity Type | Organization
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Legal Business Name | COMFORTING AND CARING LLC
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Dates
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Enumeration Date | 01/24/2023
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Last Update Date | 01/24/2023
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Provider Practice Location Address
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Address Line | 11843 FOREST PARK LN
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City | VICTORVILLE
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State | CA
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Zip | 92392-0428
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Country | US
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Telephone | 760-444-0766
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Fax |
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Provider Business Mailing Address
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Address Line | 11843 FOREST PARK LN
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City | VICTORVILLE
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State | CA
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Zip | 92392-0428
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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 | ADMINISTRATOR
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Name | KISHA DIXON
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Credential |
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Telephone | 251-463-7266
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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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