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General NPI Number Information
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NPI Number | 1558278598
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Entity Type | Organization
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Legal Business Name | RISE AND SHINE BABY OF MINE LLC
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Dates
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Enumeration Date | 08/25/2026
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Last Update Date | 08/25/2026
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Provider Practice Location Address
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Address Line | 1915 N DR MARTIN LUTHER KING JR DR
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City | MILWAUKEE
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State | WI
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Zip | 53212-3675
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Country | US
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Telephone | 414-372-6692
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Fax |
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Provider Business Mailing Address
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Address Line | 1103 W GARFIELD AVE
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City | MILWAUKEE
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State | WI
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Zip | 53205-1324
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Country | US
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Telephone | 414-372-6692
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. DEA WRIGHT
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Credential | AAS, BS, MAT
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Telephone | 414-372-6692
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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