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General NPI Number Information
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NPI Number | 1548133465
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Entity Type | Organization
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Legal Business Name | SENIOR CONCIERGE LLC
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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 | 610 GOLD AVE SW STE 202
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-3188
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Country | US
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Telephone | 888-888-2191
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Fax | 866-573-0213
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Provider Business Mailing Address
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Address Line | 610 GOLD AVE SW STE 202
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City | ALBUQUERQUE
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State | NM
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Zip | 87102-3188
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Country | US
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Telephone | 888-888-2191
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Fax | 866-573-0213
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Authorized Official
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Title or Position | CEO
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Name | MR. TIMOTHY SCOTT HART
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Credential |
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Telephone | 404-583-3519
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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