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General NPI Number Information
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NPI Number | 1508739343
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Entity Type | Organization
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Legal Business Name | DEEPER WELL CONCIERGE PLLC
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Dates
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Enumeration Date | 09/26/2025
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Last Update Date | 09/26/2025
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Provider Practice Location Address
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Address Line | 900 VILLAGE SQUARE XING STE 150
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City | PALM BEACH GARDENS
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State | FL
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Zip | 33410-4549
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Country | US
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Telephone | 561-386-6403
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Fax | 561-232-3084
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Provider Business Mailing Address
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Address Line | 5503 55TH WAY
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City | WEST PALM BEACH
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State | FL
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Zip | 33409-7103
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Country | US
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Telephone | 561-386-6403
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Fax | 561-232-3084
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Authorized Official
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Title or Position | APRN
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Name | HANNAH FIELDS
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Credential | APRN
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Telephone | 561-386-6403
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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