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General NPI Number Information
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NPI Number | 1558016303
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Entity Type | Organization
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Legal Business Name | WILLOW NURSING CONCIERGE
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Dates
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Enumeration Date | 02/18/2022
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Last Update Date | 04/02/2022
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Provider Practice Location Address
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Address Line | 2007 COMMERCE ST # 36
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City | HOUSTON
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State | TX
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Zip | 77002-2313
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Country | US
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Telephone | 346-345-5582
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Fax |
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Provider Business Mailing Address
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Address Line | 2007 COMMERCE ST # 36
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City | HOUSTON
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State | TX
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Zip | 77002-2313
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Country | US
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Telephone | 832-981-2777
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | INESHIA NECOLE POTTS
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Credential | MSN, RN
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Telephone | 281-352-3455
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State |
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