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General NPI Number Information
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NPI Number | 1972911683
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Entity Type | Organization
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Legal Business Name | COMFORT TOUCH THERAPEUTIC SERVICES, LLC
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Dates
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Enumeration Date | 07/25/2014
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Last Update Date | 07/25/2014
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Provider Practice Location Address
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Address Line | 11 CORDELE RD
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City | NEWARK
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State | DE
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Zip | 19711-5612
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Country | US
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Telephone | 302-584-5924
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Fax | 763-250-6483
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Provider Business Mailing Address
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Address Line | 11 CORDELE RD
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City | NEWARK
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State | DE
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Zip | 19711-5612
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Country | US
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Telephone | 302-584-5924
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Fax | 763-250-6483
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Authorized Official
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Title or Position | OWNER, LMT
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Name | MRS. NERIE D. SUBACH
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Credential | LMT
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Telephone | 302-584-5924
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number | MT-0002952
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License Number State | DE
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