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General NPI Number Information
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NPI Number | 1376406835
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Entity Type | Organization
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Legal Business Name | OPULENT MANAGEMENT CONSULTING GROUP LLC
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Dates
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Enumeration Date | 12/03/2025
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Last Update Date | 12/03/2025
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Provider Practice Location Address
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Address Line | 2200 DR MARTIN LUTHER KING BLVD STE C
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City | FORT MYERS
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State | FL
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Zip | 33901-3669
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Country | US
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Telephone | 727-502-7380
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 4184
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City | NORTH FORT MYERS
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State | FL
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Zip | 33918-4184
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PROVIDER
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Name | LOUISIANE JONES
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Credential |
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Telephone | 727-502-7380
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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