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General NPI Number Information
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NPI Number | 1689274474
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Entity Type | Organization
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Legal Business Name | CONCIERGE CARE MANAGEMENT
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Dates
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Enumeration Date | 10/29/2020
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Last Update Date | 10/29/2020
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Provider Practice Location Address
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Address Line | 405 E 14TH ST APT 6E
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City | NEW YORK
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State | NY
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Zip | 10009-2703
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Country | US
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Telephone | 516-286-7820
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Fax |
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Provider Business Mailing Address
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Address Line | 405 E 14TH ST APT 6E
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City | NEW YORK
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State | NY
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Zip | 10009-2703
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Country | US
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Telephone | 516-286-7820
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Fax |
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Authorized Official
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Title or Position | FOUNDER
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Name | MRS. NINA MICHELLE LIBSON
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Credential | LCSW
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Telephone | 516-286-7820
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 1041C0700X
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Taxonomy Name | Clinical Social Worker
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License Number |
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License Number State |
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