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General NPI Number Information
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NPI Number | 1609948611
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Entity Type | Organization
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Legal Business Name | COMFORT CARE HOSPICE LLC
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Dates
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Enumeration Date | 11/14/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 21906 W 52ND ST
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City | SHAWNEE
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State | KS
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Zip | 66226-2799
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Country | US
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Telephone | 913-745-5098
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Fax |
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Provider Business Mailing Address
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Address Line | 21906 W 52ND ST
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City | SHAWNEE
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State | KS
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Zip | 66226-2799
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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 | COO
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Name | MARTIN D JAMES
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Credential | OTR L
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Telephone | 913-745-5098
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number |
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License Number State |
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