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General NPI Number Information
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NPI Number | 1336821784
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Entity Type | Organization
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Legal Business Name | NAPLES CONCIERGE HEALTHCARE
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Dates
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Enumeration Date | 08/04/2023
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Last Update Date | 09/20/2023
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Provider Practice Location Address
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Address Line | 700 2ND AVE N STE 305
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City | NAPLES
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State | FL
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Zip | 34102-5702
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Country | US
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Telephone | 239-690-6286
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Fax |
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Provider Business Mailing Address
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Address Line | 30 MONTGOMERY ST STE 720
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City | JERSEY CITY
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State | NJ
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Zip | 07302-3834
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Country | US
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Telephone | 212-524-7714
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Fax | 646-547-2572
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Authorized Official
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Title or Position | OWNER
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Name | JONATHAN WALTON MARSH
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Credential | MD
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Telephone | 864-723-3569
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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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