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General NPI Number Information
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NPI Number | 1073993374
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Entity Type | Organization
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Legal Business Name | AGAPE HEART TO HEART CONCIERGE SERVICE
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Dates
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Enumeration Date | 06/02/2015
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Last Update Date | 06/02/2015
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Provider Practice Location Address
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Address Line | 6615 HILLWAY CIR STE 201
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City | NAPLES
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State | FL
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Zip | 34112-8755
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Country | US
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Telephone | 239-455-1882
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Fax | 239-455-2412
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Provider Business Mailing Address
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Address Line | 6615 HILLWAY CIR STE 201
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City | NAPLES
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State | FL
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Zip | 34112-8755
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Country | US
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Telephone | 239-455-1882
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Fax | 239-455-2412
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Authorized Official
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Title or Position | NURSE PRACTITIONER/ OWNER
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Name | VICTOR M STEWART
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Credential | ARNP-C
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Telephone | 239-455-1882
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number | ARNP9208301
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License Number State | FL
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