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General NPI Number Information
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NPI Number | 1154173433
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Entity Type | Organization
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Legal Business Name | CARING FOR THE WISE LLC
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Dates
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Enumeration Date | 04/02/2024
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Last Update Date | 04/02/2024
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Provider Practice Location Address
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Address Line | 119 E CENTRAL
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City | HARRELL
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State | AR
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Zip | 71745
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Country | US
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Telephone | 870-406-9287
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Fax |
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Provider Business Mailing Address
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Address Line | 2088 CALHOUN 40
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City | HAMPTON
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State | AR
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Zip | 71744-9399
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Country | US
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Telephone | 870-406-9287
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | DELISIA MARQUISE OSONDU
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Credential |
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Telephone | 870-406-9287
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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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