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General NPI Number Information
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NPI Number | 1538604012
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Entity Type | Organization
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Legal Business Name | COMFORTABLE LIVING, IN GOOD HANDS
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Dates
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Enumeration Date | 12/20/2016
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Last Update Date | 12/20/2016
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Provider Practice Location Address
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Address Line | 1309 JULES CT
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City | EUSTIS
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State | FL
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Zip | 32726-2702
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Country | US
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Telephone | 350-305-8583
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Fax | 352-308-8584
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Provider Business Mailing Address
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Address Line | 1309 JULES CT
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City | EUSTIS
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State | FL
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Zip | 32726-2702
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Country | US
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Telephone | 352-308-8583
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Fax | 352-308-8584
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Authorized Official
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Title or Position | OWNER
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Name | WANDA STRONG
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Credential |
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Telephone | 352-308-8583
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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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