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General NPI Number Information
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NPI Number | 1215802558
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Entity Type | Organization
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Legal Business Name | TEH-KHANG CARE LLC
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Dates
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Enumeration Date | 10/07/2025
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Last Update Date | 10/07/2025
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Provider Practice Location Address
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Address Line | 4435 SODA CREEK RD APT B
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City | OSHKOSH
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State | WI
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Zip | 54901-1035
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Country | US
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Telephone | 920-489-4771
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Fax |
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Provider Business Mailing Address
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Address Line | N1145 GLENNVIEW DR
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City | GREENVILLE
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State | WI
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Zip | 54942-8782
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Country | US
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Telephone | 920-489-4771
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Fax |
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Authorized Official
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Title or Position | OPERATION MANAGER
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Name | NDAMBOU MENDY
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Credential |
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Telephone | 920-489-4771
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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