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General NPI Number Information
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NPI Number | 1821704149
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Entity Type | Organization
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Legal Business Name | ROBERTSON WELLNESS CONCIERGE SERVICES PC
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Dates
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Enumeration Date | 01/30/2023
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Last Update Date | 01/30/2023
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Provider Practice Location Address
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Address Line | 150 N ROBERTSON BLVD STE 206
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2144
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Country | US
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Telephone | 310-407-0542
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Fax |
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Provider Business Mailing Address
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Address Line | 150 N ROBERTSON BLVD STE 206
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City | BEVERLY HILLS
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State | CA
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Zip | 90211-2144
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Country | US
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Telephone | 310-407-0542
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BIANA KRAYEVSKY
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Credential | NP
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Telephone | 323-627-1557
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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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 | 251F00000X
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Taxonomy Name | Home Infusion Agency
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License Number |
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License Number State |
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