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General NPI Number Information
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NPI Number | 1720340003
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Entity Type | Organization
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Legal Business Name | COMFORT-N-MOBILITY, INC
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Dates
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Enumeration Date | 06/12/2012
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Last Update Date | 05/22/2013
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Provider Practice Location Address
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Address Line | 2317 E 15TH ST
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City | PANAMA CITY
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State | FL
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Zip | 32405-6345
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Country | US
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Telephone | 850-257-5777
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Fax | 850-257-5238
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Provider Business Mailing Address
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Address Line | 3082 GULF BREEZE PKWY
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City | GULF BREEZE
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State | FL
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Zip | 32563-3246
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Country | US
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Telephone | 850-934-5217
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Fax | 850-934-4771
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WILLIAM MARTIN BOHATKA
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Credential |
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Telephone | 850-934-5217
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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 | 1079
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License Number State | FL
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