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General NPI Number Information
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NPI Number | 1093531535
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Entity Type | Organization
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Legal Business Name | SUGARS LOVING MEMORIES PERSONAL CARE LLC.
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Dates
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Enumeration Date | 11/30/2024
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Last Update Date | 11/30/2024
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Provider Practice Location Address
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Address Line | 3461 N 82ND ST
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City | MILWAUKEE
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State | WI
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Zip | 53222-3861
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Country | US
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Telephone | 414-732-9999
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Fax | 608-673-3556
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Provider Business Mailing Address
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Address Line | 8531 W LISBON AVE
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City | MILWAUKEE
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State | WI
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Zip | 53222-3728
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Country | US
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Telephone | 414-732-9999
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Fax |
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Authorized Official
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Title or Position | CEO/DIRECTOR OF OPERATIONS
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Name | WHITNEY PEGUES
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Credential |
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Telephone | 414-732-9999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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