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General NPI Number Information
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NPI Number | 1467319152
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Entity Type | Organization
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Legal Business Name | CARE BY AN ANGEL LLC
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 11512 N PORT WASHINGTON RD STE 201C
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City | MEQUON
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State | WI
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Zip | 53092-3481
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Country | US
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Telephone | 262-292-4444
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Fax | 262-292-4444
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Provider Business Mailing Address
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Address Line | 11512 N PORT WASHINGTON RD STE 201C
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City | MEQUON
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State | WI
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Zip | 53092-3481
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Country | US
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Telephone | 262-292-4444
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Fax | 262-292-4444
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | NANA OSEI
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Credential |
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Telephone | 262-292-4444
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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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