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General NPI Number Information
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NPI Number | 1730208240
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Entity Type | Organization
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Legal Business Name | CONCENTRIC HEALTHCARE SOLUTIONS
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Dates
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Enumeration Date | 03/28/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 4250 N DRINKWATER BLVD SUITE 165
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-3981
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Country | US
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Telephone | 480-444-7788
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Fax | 480-444-7799
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Provider Business Mailing Address
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Address Line | 4250 N DRINKWATER BLVD SUITE 165
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City | SCOTTSDALE
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State | AZ
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Zip | 85251-3981
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Country | US
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Telephone | 480-444-7788
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Fax | 480-444-7799
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. GEORGE PESTOW
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Credential | RN
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Telephone | 480-444-7788
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | HHA4068
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License Number State | AZ
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