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General NPI Number Information
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NPI Number | 1396649133
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Entity Type | Organization
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Legal Business Name | CONCEPT CONSULTING COLLECTIVE
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Dates
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Enumeration Date | 10/06/2026
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Last Update Date | 10/06/2026
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Provider Practice Location Address
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Address Line | 2680 E MAIN ST STE 109
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City | PLAINFIELD
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State | IN
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Zip | 46168-2827
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Country | US
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Telephone | 844-317-5550
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Fax |
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Provider Business Mailing Address
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Address Line | 2680 E MAIN ST STE 109
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City | PLAINFIELD
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State | IN
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Zip | 46168-2827
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Country | US
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Telephone | 844-317-5550
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Fax |
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Authorized Official
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Title or Position | EAP
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Name | JOHARI COX
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Credential | CEAP
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Telephone | 463-426-9822
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State | NULL
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Taxonomy #2
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number |
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License Number State | NULL
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