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General NPI Number Information
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NPI Number | 1326659392
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Entity Type | Organization
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Legal Business Name | COMFORT PARADISE HOME CARE
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Dates
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Enumeration Date | 08/13/2020
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Last Update Date | 08/13/2020
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Provider Practice Location Address
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Address Line | 1420 S FIGUEROA ST APT 528
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City | LOS ANGELES
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State | CA
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Zip | 90015-3386
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Country | US
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Telephone | 240-263-8681
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Fax |
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Provider Business Mailing Address
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Address Line | 1420 S FIGUEROA ST APT 528
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City | LOS ANGELES
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State | CA
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Zip | 90015-3386
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Country | US
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Telephone | 240-263-8681
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Fax |
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Authorized Official
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Title or Position | REGISTERED NURSE & FNP
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Name | MRS. CLAUDIA KIEN MBAH
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Credential |
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Telephone | 240-263-8681
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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