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General NPI Number Information
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NPI Number | 1215355532
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Entity Type | Organization
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Legal Business Name | COMFORT HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 04/03/2014
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Last Update Date | 04/03/2014
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Provider Practice Location Address
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Address Line | 5983 COLUMBIA PIKE SUITE 100
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City | FALLS CHURCH
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State | VA
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Zip | 22041-2041
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Country | US
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Telephone | 703-618-5710
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Fax |
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Provider Business Mailing Address
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Address Line | 5983 COLUMBIA PIKE SUITE 100
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City | FALLS CHURCH
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State | VA
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Zip | 22041-2041
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Country | US
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Telephone | 703-618-5710
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Fax |
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Authorized Official
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Title or Position | OWNER/OPERTOR
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Name | MS. FAIZA ISMAIL
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Credential |
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Telephone | 703-618-5710
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HCO-141111
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License Number State | VA
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