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General NPI Number Information
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NPI Number | 1427871979
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Entity Type | Organization
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Legal Business Name | CONCIERGE CARE GIVERS
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Dates
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Enumeration Date | 11/04/2024
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Last Update Date | 11/04/2024
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Provider Practice Location Address
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Address Line | 6397 AUTUMN VIEW TRACE
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City | ACWORTH
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State | GA
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Zip | 30101-7669
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Country | US
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Telephone | 404-862-8553
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Fax |
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Provider Business Mailing Address
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Address Line | 6397 AUTUMN VIEW TRACE
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City | ACWORTH
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State | GA
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Zip | 30101-7669
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Country | US
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Telephone | 404-862-8553
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | EJ FUGATE
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Credential |
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Telephone | 404-862-8553
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State |
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