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General NPI Number Information
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NPI Number | 1346671740
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Entity Type | Organization
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Legal Business Name | COMFORT HOME CARE LLC
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Dates
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Enumeration Date | 12/10/2013
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Last Update Date | 12/10/2013
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Provider Practice Location Address
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Address Line | 2545 HEMPSTEAD TPKE 221
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City | EAST MEADOW
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State | NY
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Zip | 11554-2194
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Country | US
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Telephone | 516-765-3153
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Fax | 516-308-4328
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Provider Business Mailing Address
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Address Line | 2545 HEMPSTEAD TPKE 221
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City | EAST MEADOW
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State | NY
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Zip | 11554-2194
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Country | US
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Telephone | 516-765-3153
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Fax | 516-308-4328
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. MIRIAM GAIL LEONARD
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Credential | RN
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Telephone | 516-765-3153
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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 | 1758-L001
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License Number State | NY
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