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General NPI Number Information
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NPI Number | 1225638794
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Entity Type | Organization
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Legal Business Name | AMITY HEALTH SERVICES
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Dates
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Enumeration Date | 10/26/2020
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Last Update Date | 01/17/2023
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Provider Practice Location Address
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Address Line | 8018 W CAPITOL DR STE 201
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City | MILWAUKEE
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State | WI
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Zip | 53222-1906
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Country | US
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Telephone | 414-426-6829
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Fax | 262-364-2027
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Provider Business Mailing Address
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Address Line | 8018 W CAPITOL DR STE 201
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City | MILWAUKEE
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State | WI
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Zip | 53222-1906
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Country | US
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Telephone | 414-426-6829
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Fax | 262-364-2027
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Authorized Official
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Title or Position | OWNER
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Name | JOHNNIE MAE SIMMONS
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Credential |
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Telephone | 414-426-6829
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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 | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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