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General NPI Number Information
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NPI Number | 1497387740
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Entity Type | Organization
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Legal Business Name | HANDS THAT HELP
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Dates
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Enumeration Date | 02/05/2020
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Last Update Date | 02/05/2020
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Provider Practice Location Address
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Address Line | 6868 S ASH ST
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City | OAK CREEK
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State | WI
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Zip | 53154-1604
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Country | US
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Telephone | 414-254-9434
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Fax | 414-215-7227
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Provider Business Mailing Address
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Address Line | 6868 S ASH ST
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City | OAK CREEK
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State | WI
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Zip | 53154-1604
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Country | US
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Telephone | 414-254-9434
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Fax |
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Authorized Official
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Title or Position | OWNER/ADMINISTRATOR
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Name | ELIZABETH M PETTIS
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Credential |
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Telephone | 414-254-9434
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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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