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General NPI Number Information
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NPI Number | 1447849591
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Entity Type | Organization
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Legal Business Name | CONCIERGE SLEEP AND WELLNESS LLC
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Dates
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Enumeration Date | 01/13/2021
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Last Update Date | 01/18/2021
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Provider Practice Location Address
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Address Line | 109 PRIVATE ROAD 647
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City | BAY CITY
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State | TX
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Zip | 77414-5481
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Country | US
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Telephone | 346-321-7312
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Fax |
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Provider Business Mailing Address
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Address Line | 109 PRIVATE ROAD 647
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City | BAY CITY
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State | TX
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Zip | 77414-5481
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Country | US
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Telephone | 346-321-7312
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CAROLYN GRIGGS
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Credential |
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Telephone | 346-321-7312
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number |
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License Number State |
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