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General NPI Number Information
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NPI Number | 1073894143
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Entity Type | Organization
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Legal Business Name | CONCIERGE CARE LLC
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Dates
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Enumeration Date | 09/02/2011
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Last Update Date | 03/05/2025
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Provider Practice Location Address
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Address Line | 536 N TAYLOR AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63108-1888
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Country | US
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Telephone | 314-449-1143
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Fax | 314-449-1724
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Provider Business Mailing Address
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Address Line | 536 N TAYLOR AVE
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City | SAINT LOUIS
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State | MO
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Zip | 63108-1888
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Country | US
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Telephone | 314-449-1143
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Fax | 314-449-1724
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Authorized Official
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Title or Position | PHYSICIAN
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Name | UCHENNA CHRISTOPHER OGBUOKIRI
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Credential | MD
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Telephone | 314-703-8609
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RG0300X
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Taxonomy Name | Geriatric Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number | 20060253323
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License Number State | MO
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