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General NPI Number Information
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NPI Number | 1104610427
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Entity Type | Organization
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Legal Business Name | TEAM LOVE HOME CARE
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Dates
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Enumeration Date | 04/09/2025
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Last Update Date | 04/09/2025
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Provider Practice Location Address
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Address Line | N2505 CHAPIN RD
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City | LAKE GENEVA
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State | WI
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Zip | 53147-3486
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Country | US
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Telephone | 224-661-0523
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Fax |
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Provider Business Mailing Address
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Address Line | N2505 CHAPIN RD
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City | LAKE GENEVA
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State | WI
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Zip | 53147-3486
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Country | US
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Telephone | 242-661-0523
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Fax |
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Authorized Official
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Title or Position | MS
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Name | JENNIFER ROMAINE BRUGGER
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Credential | CNA
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Telephone | 224-661-0523
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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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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