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General NPI Number Information
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NPI Number | 1609697838
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Entity Type | Organization
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Legal Business Name | BOCA PRESTIGE CONCIERGE
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Dates
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Enumeration Date | 10/21/2024
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Last Update Date | 10/21/2024
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Provider Practice Location Address
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Address Line | 410 NW 53RD ST
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City | BOCA RATON
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State | FL
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Zip | 33487-3749
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Country | US
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Telephone | 786-354-8783
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Fax |
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Provider Business Mailing Address
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Address Line | 222 W YAMATO RD STE 106-283
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City | BOCA RATON
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State | FL
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Zip | 33431-4704
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Country | US
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Telephone | 786-354-8783
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Fax |
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Authorized Official
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Title or Position | PARTNER
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Name | JESSICA EICHLER
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Credential | MD
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Telephone | 786-354-8783
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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