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General NPI Number Information
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NPI Number | 1356521801
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Entity Type | Organization
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Legal Business Name | MEDICAL MANAGEMENT CONCEPTS,LLC
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Dates
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Enumeration Date | 11/13/2007
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Last Update Date | 11/13/2007
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Provider Practice Location Address
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Address Line | 111 N REYNOLDS RD
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City | TOLEDO
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State | OH
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Zip | 43615-5257
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Country | US
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Telephone | 419-386-8384
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Fax | 419-243-8332
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Provider Business Mailing Address
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Address Line | PO BOX 70618
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City | TOLEDO
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State | OH
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Zip | 43607-0618
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Country | US
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Telephone | 419-386-8384
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Fax | 419-243-8332
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Authorized Official
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Title or Position | OWNER
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Name | ALFREDA R MITCHELL
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Credential |
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Telephone | 419-386-8384
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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