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General NPI Number Information
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NPI Number | 1568896462
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Entity Type | Organization
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Legal Business Name | COMFORT CARE ENTERPRISES
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Dates
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Enumeration Date | 08/27/2013
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Last Update Date | 08/27/2013
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Provider Practice Location Address
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Address Line | 530 N PUENTE ST
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City | BREA
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State | CA
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Zip | 92821-2804
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Country | US
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Telephone | 888-469-0222
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Fax | 714-256-2004
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Provider Business Mailing Address
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Address Line | 530 N PUENTE ST
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City | BREA
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State | CA
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Zip | 92821-2804
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Country | US
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Telephone | 888-469-0222
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Fax | 714-256-2004
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MR. MICHAEL VOROBIEV
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Credential |
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Telephone | 888-469-0222
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 52903
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License Number State | CA
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