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General NPI Number Information
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NPI Number | 1962967661
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Entity Type | Organization
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Legal Business Name | COMFORT LIFE HOME CARE LLC
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Dates
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Enumeration Date | 02/06/2019
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Last Update Date | 08/06/2019
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Provider Practice Location Address
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Address Line | 711 W NOLANA AVE STE 201C
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City | MCALLEN
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State | TX
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Zip | 78504-3079
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Country | US
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Telephone | 956-330-0600
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Fax |
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Provider Business Mailing Address
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Address Line | 4803 ALANZO AVE
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City | EDINBURG
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State | TX
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Zip | 78542-9227
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Country | US
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Telephone | 956-330-0600
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | JESUS A ANGUIANO
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Credential |
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Telephone | 956-330-0600
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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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