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General NPI Number Information
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NPI Number | 1396061172
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Entity Type | Organization
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Legal Business Name | PAUL AND BONNIE HARE INC
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Dates
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Enumeration Date | 04/19/2010
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Last Update Date | 04/19/2010
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Provider Practice Location Address
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Address Line | 414 W MORELAND BLVD SUITE 205
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City | WAUKESHA
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State | WI
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Zip | 53188-2441
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Country | US
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Telephone | 262-446-2000
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Fax |
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Provider Business Mailing Address
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Address Line | 414 W MORELAND BLVD SUITE 205
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City | WAUKESHA
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State | WI
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Zip | 53188-2441
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Country | US
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Telephone | 262-446-2000
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/OWNER
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Name | MRS. BONITA M. HARE
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Credential |
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Telephone | 262-446-2000
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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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