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General NPI Number Information
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NPI Number | 1063766806
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Entity Type | Organization
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Legal Business Name | URBAN NORTH NEIGHBORHOOD CONCERNS ASSOCIATION INC
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Dates
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Enumeration Date | 11/01/2012
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Last Update Date | 11/01/2012
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Provider Practice Location Address
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Address Line | 2821 N 4TH ST RM 208
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City | MILWAUKEE
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State | WI
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Zip | 53212-2362
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Country | US
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Telephone | 888-273-6691
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Fax | 888-273-6691
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Provider Business Mailing Address
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Address Line | 5930 N 75TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53218-1834
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Country | US
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Telephone | 888-273-6691
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Fax | 888-273-6691
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Authorized Official
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Title or Position | DIRECTOR
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Name | TIFFANY LITTLE
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Credential |
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Telephone | 18882736691
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251V00000X
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Taxonomy Name | Voluntary or Charitable 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 | 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 #3
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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