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General NPI Number Information
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NPI Number | 1770505810
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Entity Type | Organization
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Legal Business Name | COMPREHENSIVE MANAGEMENT SYSTEMS, INC.
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Dates
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Enumeration Date | 07/25/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 707 60TH STREET CT E SUITE D
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City | BRADENTON
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State | FL
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Zip | 34208-6279
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Country | US
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Telephone | 941-748-8922
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Fax |
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Provider Business Mailing Address
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Address Line | 707 60TH STREET CT E SUITE D
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City | BRADENTON
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State | FL
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Zip | 34208-6279
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Country | US
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Telephone | 941-748-8922
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Fax |
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Authorized Official
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Title or Position | NURSE PRACTITIONER
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Name | MS. LAURA J DELERUYELLE
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Credential | ARNP
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Telephone | 941-748-8922
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State | FL
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