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General NPI Number Information
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NPI Number | 1023792231
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Entity Type | Organization
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Legal Business Name | LOVE IS LYFE INC
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Dates
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Enumeration Date | 06/09/2023
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Last Update Date | 06/09/2023
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Provider Practice Location Address
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Address Line | 1017 W GLEN OAKS LN STE 111
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City | MEQUON
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State | WI
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Zip | 53092-3375
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Country | US
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Telephone | 414-768-3104
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Fax |
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Provider Business Mailing Address
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Address Line | 1418 N CASS ST
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City | MILWAUKEE
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State | WI
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Zip | 53202-2764
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Country | US
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Telephone | 414-233-6815
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Fax |
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Authorized Official
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Title or Position | DON
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Name | MISS SHAMONE TURNER
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Credential | RN
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Telephone | 414-768-3104
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care 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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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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