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General NPI Number Information
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NPI Number | 1275440737
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Entity Type | Organization
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Legal Business Name | COMFORT LONGEVITY KINDER L.L.C.
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Dates
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Enumeration Date | 08/27/2026
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Last Update Date | 08/29/2026
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Provider Practice Location Address
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Address Line | 3802 NW 202ND ST
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City | MIAMI GARDENS
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State | FL
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Zip | 33055-1432
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Country | US
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Telephone | 786-285-6564
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 451381
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City | SUNRISE
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State | FL
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Zip | 33345-1381
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Country | US
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Telephone | 786-285-6564
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LANE KENDRICK
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Credential | MR
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Telephone | 786-285-6564
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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 |
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License Number State |
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