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General NPI Number Information
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NPI Number | 1609211630
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Entity Type | Organization
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Legal Business Name | THE FISCAL CONCIERGE LLC
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Dates
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Enumeration Date | 05/03/2013
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Last Update Date | 05/03/2013
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Provider Practice Location Address
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Address Line | 980 MARITIME DR STE 6
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City | MANITOWOC
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State | WI
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Zip | 54220-2962
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Country | US
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Telephone | 920-686-8810
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Fax | 920-682-9774
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Provider Business Mailing Address
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Address Line | 980 MARITIME DR STE 6
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City | MANITOWOC
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State | WI
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Zip | 54220-2962
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Country | US
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Telephone | 920-686-8810
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Fax | 920-682-9774
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Authorized Official
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Title or Position | CEO
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Name | MR. JAMES A NICKELS
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Credential |
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Telephone | 920-686-8810
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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License Number | F039306
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License Number State | WI
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