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General NPI Number Information
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NPI Number | 1710709316
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Entity Type | Organization
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Legal Business Name | CONCEPT CARE PLLC
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Dates
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Enumeration Date | 10/25/2024
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Last Update Date | 10/25/2024
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Provider Practice Location Address
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Address Line | 8106 FOREST GLEN DR
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City | HUMBLE
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State | TX
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Zip | 77338-6608
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Country | US
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Telephone | 281-826-2828
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Fax |
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Provider Business Mailing Address
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Address Line | 139 CYPRESSWOOD DR # 103
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City | SPRING
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State | TX
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Zip | 77388-6034
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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 | CO-OWNER
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Name | DESIREE TILLMON
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Credential | RN
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Telephone | 513-888-0227
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 376K00000X
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Taxonomy Name | Nurse's Aide
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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 | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 376J00000X
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Taxonomy Name | Homemaker
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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