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General NPI Number Information
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NPI Number | 1215032529
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Entity Type | Organization
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Legal Business Name | COMFORT CARE MEDICAL EQUIPMENT & UNIFORMS, INC
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 04/23/2019
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Provider Practice Location Address
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Address Line | 17860 SE 109TH AVE SUITE 630
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City | SUMMERFIELD
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State | FL
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Zip | 34491-8909
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Country | US
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Telephone | 352-307-3511
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Fax | 352-307-5858
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Provider Business Mailing Address
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Address Line | 17860 SE 109TH AVE STE 630
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City | SUMMERFIELD
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State | FL
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Zip | 34491-8909
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Country | US
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Telephone | 352-307-3511
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Fax | 352-307-5858
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. BRENDA J COUNSELL
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Credential |
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Telephone | 352-307-3511
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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 | 237
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License Number State | FL
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