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NPI 1134768559

NPI 1134768559 : DANA PERRY : WEST BEND, WI

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General NPI Number Information
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    NPI Number           |    1134768559
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    Entity Type          |    Individual 
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    Provider Name        |    DANA PERRY
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    Gender               |    Female 
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Dates
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    Enumeration Date     |    01/02/2020
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    Last Update Date     |    12/09/2025
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Provider Practice Location Address
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    Address Line         |    PO BOX 1111 
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    City                 |    WEST BEND
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    State                |    WI
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    Zip                  |    53095-8611
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    Country              |    US
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    Telephone            |    414-698-0990
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    Fax                  |    855-853-8249
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1111 
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    City                 |    WEST BEND
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    State                |    WI
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    Zip                  |    53095-8611
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    Country              |    US
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    Telephone            |    414-698-0990
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    Fax                  |    855-853-8249
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Authorized Official
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    Title or Position    |    
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    Name                 |        
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    Credential           |    
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    Telephone            |    
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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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Taxonomy #2
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    Taxonomy Code        |    374U00000X
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    Taxonomy Name        |    Home Health Aide
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    License Number       |    
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    License Number State |    
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Taxonomy #3
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    Taxonomy Code        |    174200000X
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    Taxonomy Name        |    Meals Provider
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    License Number       |    
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    License Number State |    WI
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Taxonomy #4
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    Taxonomy Code        |    332U00000X
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    Taxonomy Name        |    Home Delivered Meals
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    License Number       |    
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    License Number State |    WI
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Taxonomy #5
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    Taxonomy Code        |    172V00000X
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    Taxonomy Name        |    Community Health Worker
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    License Number       |    
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    License Number State |    WI
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Taxonomy #6
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    Taxonomy Code        |    372600000X
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    Taxonomy Name        |    Adult Companion
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    License Number       |    
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    License Number State |    WI
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Taxonomy #7
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    Taxonomy Code        |    171400000X
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    Taxonomy Name        |    Health & Wellness Coach
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    License Number       |    
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    License Number State |    WI
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