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General NPI Number Information
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NPI Number | 1689452302
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Entity Type | Organization
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Legal Business Name | CLASSIQUE CONCIERGE HOME HEALTHCARE LLC
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Dates
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Enumeration Date | 09/15/2023
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Last Update Date | 09/15/2023
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Provider Practice Location Address
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Address Line | 2563 N TOLEDO BLADE BLVD
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City | NORTH PORT
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State | FL
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Zip | 34289-9320
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Country | US
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Telephone | 937-760-4840
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Fax |
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Provider Business Mailing Address
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Address Line | 2563 N TOLEDO BLADE BLVD
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City | NORTH PORT
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State | FL
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Zip | 34289-9320
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Country | US
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Telephone | 937-760-4840
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | PREETAM BEKAL
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Credential |
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Telephone | 937-760-4840
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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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