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General NPI Number Information
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NPI Number | 1003574088
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Entity Type | Organization
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Legal Business Name | 4LESS MEDICAL TRAINING CENTER
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Dates
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Enumeration Date | 12/07/2021
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Last Update Date | 05/17/2026
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Provider Practice Location Address
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Address Line | 4163 N 72ND ST
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City | MILWAUKEE
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State | WI
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Zip | 53216-1035
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Country | US
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Telephone | 414-899-3638
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Fax | 414-585-9272
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Provider Business Mailing Address
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Address Line | 10400 W. SILVER SPRING DRIVE SUITE 250 PMB 1081
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City | MILWAUKEE
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State | WI
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Zip | 53225
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Country | US
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Telephone | 414-395-0058
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Fax | 414-585-9272
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Authorized Official
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Title or Position | PRESIDENT
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Name | LARUTHIEA JONES
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Credential | APNP
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Telephone | 414-899-3638
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State |
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