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General NPI Number Information
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NPI Number | 1679240147
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Entity Type | Organization
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Legal Business Name | PALM BEACH CONCIERGE DOCTORS
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Dates
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Enumeration Date | 08/24/2021
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Last Update Date | 08/24/2021
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Provider Practice Location Address
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Address Line | 1411 N FLAGLER DR STE 5000
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City | WEST PALM BEACH
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State | FL
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Zip | 33401-3410
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Country | US
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Telephone | 561-398-9300
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Fax |
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Provider Business Mailing Address
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Address Line | 8982 WENDY LN W
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City | ROYAL PALM BEACH
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State | FL
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Zip | 33411-6525
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MIGNON METCALF
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Credential | MD
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Telephone | 561-398-9300
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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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