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NPI 1942225222

NPI 1942225222 : COMFORT MEDICAL SUPPLIES, INC. : PONCE, PR

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General NPI Number Information
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    NPI Number           |    1942225222
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    Entity Type          |    Organization 
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    Legal Business Name  |    COMFORT MEDICAL SUPPLIES, INC. 
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Dates
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    Enumeration Date     |    07/13/2006
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    Last Update Date     |    04/04/2012
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Provider Practice Location Address
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    Address Line         |    1111 AVE MUNOZ RIVERA 
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    City                 |    PONCE
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    State                |    PR
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    Zip                  |    00717-0635
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    Country              |    US
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    Telephone            |    787-844-5959
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    Fax                  |    787-259-2979
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Provider Business Mailing Address
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    Address Line         |    PO BOX 7032 
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    City                 |    PONCE
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    State                |    PR
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    Zip                  |    00732-7032
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    Country              |    US
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    Telephone            |    787-844-5959
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    Fax                  |    787-259-2979
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Authorized Official
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    Title or Position    |    ADMINISTRATOR
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    Name                 |    MR. BENJAMIN  RODRIGUEZ 
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    Credential           |    
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    Telephone            |    787-844-5959
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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       |    
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    License Number State |    
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