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General NPI Number Information
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NPI Number | 1588902621
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Entity Type | Organization
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Legal Business Name | CONCIERGE CARE, LLC
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Dates
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Enumeration Date | 01/24/2013
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Last Update Date | 10/23/2024
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Provider Practice Location Address
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Address Line | 6817 SOUTHPOINT PKWY STE 1003
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City | JACKSONVILLE
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State | FL
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Zip | 32216-6294
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Country | US
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Telephone | 904-861-0196
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Fax | 904-485-8253
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Provider Business Mailing Address
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Address Line | 6817 SOUTHPOINT PKWY STE 1004
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City | JACKSONVILLE
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State | FL
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Zip | 32216-8201
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Country | US
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Telephone | 904-861-0196
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Fax | 904-485-8253
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. NANCY RALSTON
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Credential | RN, BSN, GCM
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Telephone | 904-861-0196
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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