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General NPI Number Information
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NPI Number | 1487476495
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Entity Type | Organization
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Legal Business Name | NELSON HOME HEALTH CARE NO 3 LLC
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Dates
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Enumeration Date | 10/30/2024
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Last Update Date | 10/30/2024
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Provider Practice Location Address
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Address Line | 7927 W BOTTSFORD AVE
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City | MILWAUKEE
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State | WI
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Zip | 53220-3327
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Country | US
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Telephone | 414-249-4839
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Fax |
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Provider Business Mailing Address
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Address Line | 7305 W CRAWFORD AVE
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City | MILWAUKEE
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State | WI
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Zip | 53220-1729
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Country | US
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Telephone | 414-249-4839
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Fax | 262-533-8875
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Authorized Official
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Title or Position | OWNER
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Name | MRS. DORINA NELSON
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Credential |
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Telephone | 262-994-2780
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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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