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General NPI Number Information
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NPI Number | 1346647161
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Entity Type | Organization
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Legal Business Name | COMFORT DEPENDABLE KARE HOME HEALTH SERVICES LLC
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Dates
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Enumeration Date | 11/21/2014
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Last Update Date | 11/21/2014
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Provider Practice Location Address
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Address Line | 710 DENBIGH BLVD SUITE 4B
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-4427
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Country | US
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Telephone | 757-847-3050
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Fax | 757-874-3289
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Provider Business Mailing Address
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Address Line | 710 DENBIGH BLVD SUITE 4B
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City | NEWPORT NEWS
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State | VA
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Zip | 23608-4427
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | FINANCIAL MANAGER
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Name | CORNETTA DAVIS
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Credential |
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Telephone | 757-847-3050
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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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