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General NPI Number Information
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NPI Number | 1124634332
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Entity Type | Organization
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Legal Business Name | NEHEMIAH HOUSE, LLC
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Dates
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Enumeration Date | 09/22/2020
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Last Update Date | 09/22/2020
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Provider Practice Location Address
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Address Line | 3901 N 21ST STREET
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City | MILWAUKEE
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State | WI
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Zip | 53206
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Country | US
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Telephone | 414-312-7452
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Fax | 414-755-0655
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Provider Business Mailing Address
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Address Line | 5210 W HAMPTON AVE
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City | MILWAUKEE
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State | WI
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Zip | 53218
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Country | US
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Telephone | 414-530-3612
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. SANDRA F TAYLOR
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Credential |
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Telephone | 414-530-3612
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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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