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General NPI Number Information
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NPI Number | 1578947214
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Entity Type | Organization
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Legal Business Name | FLO'S COMFORTCARE, LLC
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Dates
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Enumeration Date | 07/13/2015
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Last Update Date | 07/13/2015
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Provider Practice Location Address
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Address Line | 2876 IVANHOE DR
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City | COLUMBUS
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State | OH
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Zip | 43209-3225
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Country | US
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Telephone | 614-835-6122
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 91072
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City | COLUMBUS
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State | OH
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Zip | 43209-7072
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Country | US
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Telephone | 614-835-6122
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Fax | 614-670-8572
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Authorized Official
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Title or Position | PRESIDENT
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Name | MRS. JESSIE TATUM
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Credential |
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Telephone | 614-578-2299
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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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