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General NPI Number Information
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NPI Number | 1245638519
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE NURSING SERVICES, LLC
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Dates
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Enumeration Date | 12/18/2014
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Last Update Date | 12/18/2014
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Provider Practice Location Address
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Address Line | 14774 HIBISCUS RD
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City | TOMAH
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State | WI
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Zip | 54660-5344
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Country | US
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Telephone | 608-372-4475
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Fax | 608-372-4475
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Provider Business Mailing Address
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Address Line | 14774 HIBISCUS RD
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City | TOMAH
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State | WI
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Zip | 54660-5344
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Country | US
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Telephone | 608-372-4475
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Fax | 608-372-4475
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Authorized Official
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Title or Position | OWNER
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Name | PATRICIA GALE DANIELLS AMBORT
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Credential | R.N.
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Telephone | 608-372-4475
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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 | 104908-30
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License Number State | WI
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