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General NPI Number Information
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NPI Number | 1275362246
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Entity Type | Organization
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Legal Business Name | R&S PERSONAL CARE AGENCY
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Dates
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Enumeration Date | 07/29/2024
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Last Update Date | 07/29/2024
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Provider Practice Location Address
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Address Line | 6815 W CAPITOL DR STE 112
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City | MILWAUKEE
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State | WI
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Zip | 53216-2056
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Country | US
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Telephone | 414-231-9914
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Fax |
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Provider Business Mailing Address
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Address Line | 6815 W CAPITOL DR STE 112
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City | MILWAUKEE
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State | WI
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Zip | 53216-2056
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Country | US
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Telephone | 414-231-9914
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MS. STEPHANIE RODGERS
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Credential |
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Telephone | 832-830-1829
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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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