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General NPI Number Information
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NPI Number | 1831513365
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Entity Type | Organization
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Legal Business Name | LE CONCIERGE HOME CARE SOLUTIONS
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Dates
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Enumeration Date | 02/04/2014
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Last Update Date | 02/04/2014
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Provider Practice Location Address
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Address Line | 2386 CLOWER ST SUITE 101
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City | SNELLVILLE
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State | GA
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Zip | 30078-6134
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Country | US
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Telephone | 770-605-6687
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Fax |
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Provider Business Mailing Address
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Address Line | 300 JOHNSON FERRY ROAD, UNIT A313
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City | SANDY SPRINGS
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State | GA
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Zip | 30078
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Country | US
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Telephone | 770-605-6687
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Fax |
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Authorized Official
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Title or Position | OWNER/HEALTH CARE CONSULTANT
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Name | MS. DAWN-MARIE N. HEADLEY
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Credential | RN
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Telephone | 770-605-6687
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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 | RN099098
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License Number State | GA
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