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NPI 1376060632

NPI 1376060632 : LATONEY'S HELPING HANDS : MILWAUKEE, WI

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General NPI Number Information
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    NPI Number           |    1376060632
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    Entity Type          |    Organization 
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    Legal Business Name  |    LATONEY'S HELPING HANDS 
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Dates
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    Enumeration Date     |    08/28/2017
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    Last Update Date     |    08/28/2017
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Provider Practice Location Address
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    Address Line         |    8515 W CONGRESS STREET LATONEY'S HELPING HANDS
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    City                 |    MILWAUKEE
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    State                |    WI
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    Zip                  |    53225-5322
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    Country              |    US
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    Telephone            |    414-403-5757
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 5634 
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    City                 |    MILWAUKEE
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    State                |    WI
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    Zip                  |    53205-0634
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    Country              |    US
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    Telephone            |    
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. LATONEY  ROBERTSON 
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    Credential           |    
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    Telephone            |    414-403-5757
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    174200000X
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    Taxonomy Name        |    Meals Provider
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    License Number       |    
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    License Number State |    WI
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