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General NPI Number Information
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NPI Number | 1124801253
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Entity Type | Organization
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Legal Business Name | CONCIERGE HEALTH AND WELLNESS PLLC
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Dates
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Enumeration Date | 08/14/2023
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Last Update Date | 08/14/2023
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Provider Practice Location Address
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Address Line | 4120 KING AVE W STE 1
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City | BILLINGS
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State | MT
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Zip | 59106-2927
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Country | US
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Telephone | 701-500-3582
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Fax |
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Provider Business Mailing Address
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Address Line | 4120 KING AVE W STE 1
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City | BILLINGS
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State | MT
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Zip | 59106-2927
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Country | US
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Telephone | 701-500-3582
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Fax |
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Authorized Official
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Title or Position | OWNER/DOCTOR
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Name | BLERIM DIBRA
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Credential | DPT, LMT
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Telephone | 701-500-3582
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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