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General NPI Number Information
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NPI Number | 1083381123
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Entity Type | Organization
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Legal Business Name | HEARTS UNITED INC
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Dates
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Enumeration Date | 08/26/2021
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Last Update Date | 07/20/2025
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Provider Practice Location Address
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Address Line | 6003 N TEUTONIA AVE
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City | MILWAUKEE
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State | WI
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Zip | 53209-3644
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Country | US
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Telephone | 414-629-0565
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Fax | 262-415-5018
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Provider Business Mailing Address
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Address Line | N175 W11117 STONEWOOD DR. STE 250
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City | GERMANTOWN
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State | WI
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Zip | 53022-6508
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Country | US
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Telephone | 262-415-5020
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Fax | 262-415-5018
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Authorized Official
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Title or Position | PRESIDENT
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Name | KAHLILA FENNELL
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Credential |
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Telephone | 414-870-3136
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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