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General NPI Number Information
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NPI Number | 1154055903
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Entity Type | Organization
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Legal Business Name | FULL SPECTRUM HEALTH SERVICES LLC.
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Dates
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Enumeration Date | 07/15/2022
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Last Update Date | 07/15/2022
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Provider Practice Location Address
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Address Line | 1320 MENDOTA ST STE 110
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City | MADISON
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State | WI
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Zip | 53714-1096
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Country | US
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Telephone | 608-236-3817
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Fax | 608-819-6433
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Provider Business Mailing Address
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Address Line | 1320 MENDOTA ST STE 110
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City | MADISON
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State | WI
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Zip | 53714-1096
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Country | US
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Telephone | 608-236-3817
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Fax | 608-819-6433
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Authorized Official
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Title or Position | CEO/ PARTNER
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Name | DR. FRANCIS A OBUSEH
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Credential | PH.D
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Telephone | 608-236-3817
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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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 | 372600000X
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Taxonomy Name | Adult Companion
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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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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