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General NPI Number Information
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NPI Number | 1750761805
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Entity Type | Organization
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Legal Business Name | SAMSERVE CORPORATION D/B/A COMFORCARE HOME CARE NORTH COUNTY SAN DIEGO
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Dates
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Enumeration Date | 06/04/2015
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Last Update Date | 06/04/2015
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Provider Practice Location Address
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Address Line | 830 E VISTA WAY 108
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City | VISTA
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State | CA
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Zip | 92084-5215
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Country | US
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Telephone | 760-724-7273
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Fax | 760-724-7278
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Provider Business Mailing Address
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Address Line | 830 E VISTA WAY 108
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City | VISTA
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State | CA
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Zip | 92084-5215
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Country | US
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Telephone | 760-724-7273
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | SCOTT SAMUELS
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Credential |
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Telephone | 760-439-1095
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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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