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General NPI Number Information
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NPI Number | 1316762891
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Entity Type | Organization
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Legal Business Name | CONCIERGE CARE NAPLES LLC
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Dates
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Enumeration Date | 11/19/2024
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Last Update Date | 11/19/2024
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Provider Practice Location Address
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Address Line | 1265 CREEKSIDE PKWY STE 200
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City | NAPLES
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State | FL
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Zip | 34108-1954
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Country | US
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Telephone | 239-566-1577
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Fax | 239-513-9022
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Provider Business Mailing Address
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Address Line | 1265 CREEKSIDE PKWY STE 302
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City | NAPLES
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State | FL
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Zip | 34108-1955
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Country | US
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Telephone | 239-566-1577
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Fax |
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Authorized Official
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Title or Position | CHIEF OPERATIONS OFFICER
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Name | MR. BILL CRUPI
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Credential |
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Telephone | 239-610-1141
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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