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General NPI Number Information
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NPI Number | 1962811281
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Entity Type | Organization
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Legal Business Name | MILES OF COMFORT
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Dates
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Enumeration Date | 08/12/2014
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Last Update Date | 08/13/2014
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Provider Practice Location Address
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Address Line | 2521 OAKLAND BLVD
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City | FORT WORTH
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State | TX
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Zip | 76103-3292
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Country | US
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Telephone | 682-221-9756
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Fax |
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Provider Business Mailing Address
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Address Line | 5301 SPRINGLAKE PKWY APT 2312
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City | HALTOM CITY
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State | TX
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Zip | 76117-7413
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | YAKIA COLLIER
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Credential |
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Telephone | 682-221-9756
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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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