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General NPI Number Information
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NPI Number | 1114426939
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Entity Type | Organization
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Legal Business Name | ONE LOVE PERSONAL CARE LLC
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Dates
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Enumeration Date | 02/07/2018
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Last Update Date | 02/07/2018
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Provider Practice Location Address
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Address Line | 8934 W CARMEN AVE APT 1
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City | MILWAUKEE
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State | WI
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Zip | 53225-2858
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Country | US
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Telephone | 414-759-1909
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Fax |
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Provider Business Mailing Address
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Address Line | 8934 W CARMEN AVE APT 1
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City | MILWAUKEE
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State | WI
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Zip | 53225-2858
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Country | US
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Telephone | 414-759-1909
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Fax |
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Authorized Official
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Title or Position | CO-OWNER
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Name | MS. RYANN MCNAIR
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Credential |
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Telephone | 414-484-2296
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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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