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General NPI Number Information
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NPI Number | 1770585143
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Entity Type | Organization
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Legal Business Name | COMFORT HOSPICE CARE, LLC
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Dates
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Enumeration Date | 08/15/2005
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Last Update Date | 03/11/2010
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Provider Practice Location Address
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Address Line | 124 S FAIRFIELD RD SUITE B
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City | LAYTON
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State | UT
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Zip | 84041-7105
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Country | US
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Telephone | 801-547-0812
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Fax | 801-547-0818
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Provider Business Mailing Address
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Address Line | PO BOX 1365
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City | LAYTON
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State | UT
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Zip | 84041-6365
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Country | US
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Telephone | 801-547-0812
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Fax | 801-547-0818
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. CAROL H CABLE
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Credential |
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Telephone | 510-522-2902
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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 | 2005-HOSPICE-48704
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License Number State | UT
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