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General NPI Number Information
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NPI Number | 1174320345
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Entity Type | Individual
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Provider Name | TENISHA Z RANSON
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Gender | Female
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Dates
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Enumeration Date | 02/26/2025
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Last Update Date | 06/03/2025
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Provider Practice Location Address
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Address Line | 616 IMPERIAL CT
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City | WEST BEND
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State | WI
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Zip | 53095-4318
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Country | US
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Telephone | 414-690-4296
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Fax |
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Provider Business Mailing Address
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Address Line | 616 IMPERIAL CT
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City | WEST BEND
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State | WI
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Zip | 53095-4318
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Country | US
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Telephone | 414-690-4296
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Fax |
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 0020771
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 0020771
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | 0020771
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License Number State | WI
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