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General NPI Number Information
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NPI Number | 1346002680
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Entity Type | Organization
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Legal Business Name | ADVANTAGE PRIVATE NURSING SERVICES INC
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Dates
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Enumeration Date | 01/23/2024
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Last Update Date | 08/07/2025
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Provider Practice Location Address
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Address Line | 524 W. CENTRE AVE
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City | PORTAGE
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State | MI
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Zip | 49024
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Country | US
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Telephone | 269-324-1180
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Fax | 269-324-1175
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Provider Business Mailing Address
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Address Line | 524 W. CENTRE AVE
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City | PORTAGE
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State | MI
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Zip | 49024
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Country | US
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Telephone | 269-324-1180
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Fax | 269-324-1175
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. COLLEEN ANNE KUDA
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Credential | RN
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Telephone | 850-258-4416
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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 | 251J00000X
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Taxonomy Name | Nursing Care Agency
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 251X00000X
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Taxonomy Name | Supports Brokerage Agency
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License Number |
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License Number State |
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Taxonomy #4
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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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Taxonomy #5
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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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