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General NPI Number Information
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NPI Number | 1679107833
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Entity Type | Organization
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Legal Business Name | SENIOR COMFORT LLC
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Dates
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Enumeration Date | 02/26/2020
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Last Update Date | 02/26/2020
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Provider Practice Location Address
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Address Line | 3 PARAGON WAY STE 150
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City | FREEHOLD
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State | NJ
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Zip | 07728-9581
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Country | US
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Telephone | 732-984-6380
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Fax | 732-984-6424
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Provider Business Mailing Address
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Address Line | 3 PARAGON WAY STE 150
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City | FREEHOLD
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State | NJ
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Zip | 07728-9581
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Country | US
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Telephone | 732-984-6380
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Fax | 732-984-6424
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Authorized Official
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Title or Position | MANAGING DIRECTOR
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Name | MICHAEL KRAVCHENKO
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Credential |
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Telephone | 877-553-5806
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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