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General NPI Number Information
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NPI Number | 1497490106
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Entity Type | Organization
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Legal Business Name | FOREVER BEE HEALTH-E CONCIERGE, LLC
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Dates
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Enumeration Date | 04/28/2022
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Last Update Date | 04/28/2022
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Provider Practice Location Address
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Address Line | 901 N POLK ST STE 101
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City | DESOTO
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State | TX
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Zip | 75115
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Country | US
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Telephone | 817-818-7280
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Fax |
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Provider Business Mailing Address
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Address Line | 752 N MAIN ST UNIT 1276
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City | MANSFIELD
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State | TX
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Zip | 76063-3289
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Country | US
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Telephone | 817-818-7280
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHIQUTA NORTHERN
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Credential |
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Telephone | 817-818-7280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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