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General NPI Number Information
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NPI Number | 1205143344
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Entity Type | Organization
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Legal Business Name | THE COMFORT AGENCY
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Dates
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Enumeration Date | 09/10/2010
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Last Update Date | 09/10/2010
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Provider Practice Location Address
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Address Line | 677 MILAN DR
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City | KISSIMMEE
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State | FL
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Zip | 34758-4305
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Country | US
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Telephone | 407-575-1881
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Fax | 407-944-1963
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Provider Business Mailing Address
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Address Line | 677 MILAN DR
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City | KISSIMMEE
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State | FL
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Zip | 34758-4305
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Country | US
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Telephone | 407-575-1881
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Fax | 407-944-1964
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Authorized Official
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Title or Position | OWNER
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Name | SHERRINE GEORGE
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Credential |
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Telephone | 407-575-1881
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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 | 000169900
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License Number State | FL
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