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General NPI Number Information
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NPI Number | 1912400698
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Entity Type | Organization
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Legal Business Name | CARE FOR COMFORT
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Dates
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Enumeration Date | 03/09/2018
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Last Update Date | 03/09/2018
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Provider Practice Location Address
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Address Line | 10027 VASSO VW APT 2
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City | CONVERSE
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State | TX
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Zip | 78109-2776
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Country | US
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Telephone | 210-992-7136
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Fax |
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Provider Business Mailing Address
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Address Line | 10027 VASSO VW APT 2
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City | CONVERSE
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State | TX
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Zip | 78109-2776
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Country | US
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Telephone | 210-992-7136
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISATRATOR
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Name | CHELA L BROWN
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Credential | LVN
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Telephone | 210-992-7136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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