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Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Adult Medicine |
207QA0505X | 08 | Physician/Family Practice |
| NPI # | 1124539382 |
| LBN Legal business name | CONGENIAL HEALTHCARE, LLC |
| Authorized official | ALAIN CHAOUI - (PHYSICIAN) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 10/16/2017 |
| Last updated | 10/16/2017 - About 9 years ago |
| Identifiers | n/a |
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CONGENIAL HEALTHCARE, LLC
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CONGENIAL HEALTHCARE, LLC