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General NPI Number Information
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NPI Number | 1144639071
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Entity Type | Organization
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Legal Business Name | MARGARET CARE CONCIERGE HEALTH SERVICES PLLC
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Dates
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Enumeration Date | 08/05/2014
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Last Update Date | 09/03/2020
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Provider Practice Location Address
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Address Line | 5614 1ST ST
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City | KATY
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State | TX
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Zip | 77493-2411
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Country | US
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Telephone | 346-307-7500
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Fax | 346-307-7570
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Provider Business Mailing Address
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Address Line | PO BOX 1109
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City | KATY
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State | TX
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Zip | 77492-1109
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Country | US
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Telephone | 346-307-7500
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Fax | 346-307-7570
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Authorized Official
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Title or Position | CEO/PRESIDENT
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Name | MARGARET A VON HEUVEL
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Credential | GNP
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Telephone | 346-307-7500
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number | AP114607
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License Number State | TX
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