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General NPI Number Information
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NPI Number | 1477918118
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Entity Type | Organization
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Legal Business Name | CARE GIVING UNITED HOME HEALTH AGENCY LLC
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Dates
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Enumeration Date | 12/23/2015
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Last Update Date | 12/23/2015
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Provider Practice Location Address
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Address Line | N64W14567 MILL RD
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City | MENOMONEE FALLS
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State | WI
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Zip | 53051-5148
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Country | US
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Telephone | 414-745-4392
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Fax |
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Provider Business Mailing Address
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Address Line | N64 W14567 MILL ROAD
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City | MENOMONEE FALLS
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State | WI
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Zip | 53051-5148
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Country | US
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Telephone | 414-745-4392
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | KAI TRIMBLE
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Credential |
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Telephone | 414-745-4392
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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 | 1197
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License Number State | WI
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