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General NPI Number Information
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NPI Number | 1003206459
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Entity Type | Organization
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Legal Business Name | MCS MEDICAL CONCIERGE SERVICE
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Dates
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Enumeration Date | 01/23/2015
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Last Update Date | 01/23/2015
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Provider Practice Location Address
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Address Line | 16 ROCKWOOD AVE
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City | MASSAPEQUA
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State | NY
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Zip | 11758-4744
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Country | US
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Telephone | 516-262-1626
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Fax |
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Provider Business Mailing Address
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Address Line | 16 ROCKWOOD AVE
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City | MASSAPEQUA
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State | NY
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Zip | 11758-4744
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Country | US
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Telephone | 516-262-1626
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Fax |
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Authorized Official
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Title or Position | FOUNDER/CEO
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Name | LURESA LYNN MCCARY
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Credential |
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Telephone | 516-262-1626
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171M00000X
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Taxonomy Name | Case Manager/Care Coordinator
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License Number |
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License Number State | NY
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