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General NPI Number Information
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NPI Number | 1194098335
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Entity Type | Organization
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Legal Business Name | DLO PARTERS LLC
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Dates
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Enumeration Date | 02/20/2012
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Last Update Date | 04/24/2014
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Provider Practice Location Address
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Address Line | 3073 S CHASE AVE STE 312
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City | MILWAUKEE
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State | WI
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Zip | 53207-2638
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Country | US
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Telephone | 414-239-2334
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Fax | 414-755-4410
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Provider Business Mailing Address
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Address Line | 3073 S CHASE AVE STE 312
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City | MILWAUKEE
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State | WI
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Zip | 53207-2638
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Country | US
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Telephone | 414-239-2334
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Fax | 414-755-4410
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Authorized Official
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Title or Position | OWNER
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Name | MR. JEFF SCHULZ
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Credential |
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Telephone | 414-239-2334
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number | 3016
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License Number State | WI
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Taxonomy #2
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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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