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General NPI Number Information
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NPI Number | 1346069325
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Entity Type | Organization
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Legal Business Name | CONCIERGE MEDICINE OF BOCA RATON, PLLC
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Dates
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Enumeration Date | 10/07/2024
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Last Update Date | 10/07/2024
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Provider Practice Location Address
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Address Line | 825 MEADOWS RD STE 111
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City | BOCA RATON
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State | FL
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Zip | 33486-2347
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Country | US
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Telephone | 561-961-3005
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Fax | 561-954-0020
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Provider Business Mailing Address
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Address Line | 825 MEADOWS RD STE 111
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City | BOCA RATON
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State | FL
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Zip | 33486-2347
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Country | US
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Telephone | 561-961-3005
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Fax | 561-954-0020
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Authorized Official
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Title or Position | OWNER/PHYSICIAN
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Name | DR. CAITLIN PRICKETT
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Credential | DO
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Telephone | 561-961-3005
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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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