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General NPI Number Information
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NPI Number | 1437937877
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Entity Type | Organization
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Legal Business Name | AT HOME CONCIERGE CARE LLC
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Dates
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Enumeration Date | 09/18/2023
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Last Update Date | 09/28/2023
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Provider Practice Location Address
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Address Line | 800 MEADOWS RD
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City | BOCA RATON
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State | FL
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Zip | 33486-2304
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Country | US
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Telephone | 561-288-8218
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Fax | 561-288-8249
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Provider Business Mailing Address
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Address Line | 170 NE 2ND ST UNIT 1933
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City | BOCA RATON
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State | FL
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Zip | 33429-5086
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Country | US
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Telephone | 561-288-8218
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Fax | 561-288-8249
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Authorized Official
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Title or Position | OWNER
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Name | MIA ABRAHAM
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Credential | APRN
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Telephone | 561-288-8218
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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