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General NPI Number Information
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NPI Number | 1306292578
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Entity Type | Organization
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Legal Business Name | COMFORTING PARTNERS HEALTHCARE SERVICES LLC
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Dates
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Enumeration Date | 05/06/2016
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Last Update Date | 05/06/2016
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Provider Practice Location Address
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Address Line | 8317 OFFICE PARK DR STE 2A
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City | DOUGLASVILLE
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State | GA
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Zip | 30134-6936
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Country | US
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Telephone | 770-675-3061
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Fax |
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Provider Business Mailing Address
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Address Line | 3020 CAMBRIAN TER
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City | AUSTELL
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State | GA
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Zip | 30106-2960
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Country | US
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Telephone | 770-675-3061
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. ADEDEJI O LADIPO
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Credential |
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Telephone | 770-675-3061
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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 | GA
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