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General NPI Number Information
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NPI Number | 1720564602
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Entity Type | Organization
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Legal Business Name | 1 CARE CONCIERGE
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Dates
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Enumeration Date | 07/13/2018
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Last Update Date | 07/13/2018
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Provider Practice Location Address
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Address Line | 1411 SAWGRASS CORPORATE PKWY
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City | SUNRISE
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State | FL
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Zip | 33323-2888
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Country | US
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Telephone | 786-488-5545
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Fax |
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Provider Business Mailing Address
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Address Line | 12937 SW 26TH ST
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City | MIRAMAR
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State | FL
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Zip | 33027-3818
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Country | US
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Telephone | 786-488-5545
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | LINDA L CASANOVA
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Credential |
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Telephone | 786-488-5545
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225700000X
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Taxonomy Name | Massage Therapist
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License Number |
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License Number State |
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