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General NPI Number Information
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NPI Number | 1194117085
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Entity Type | Organization
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Legal Business Name | PANDA COMFORTING CARE LLC
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Dates
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Enumeration Date | 03/02/2015
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Last Update Date | 03/02/2015
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Provider Practice Location Address
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Address Line | 1509 BAYTREE TER
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City | BOWIE
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State | MD
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Zip | 20721-2384
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Country | US
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Telephone | 301-580-3344
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Fax |
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Provider Business Mailing Address
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Address Line | 1509 BAYTREE TER
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City | BOWIE
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State | MD
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Zip | 20721-2384
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Country | US
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Telephone | 301-580-3344
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MRS. COMFORT PANDA
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Credential | CRNP
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Telephone | 301-580-3344
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 281P00000X
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Taxonomy Name | Chronic Disease Hospital
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License Number | 15735612
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License Number State | MD
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