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General NPI Number Information
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NPI Number | 1558771162
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Entity Type | Organization
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Legal Business Name | FAMILY TO FAMILY HOME CARE LLC
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Dates
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Enumeration Date | 05/05/2014
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Last Update Date | 05/05/2014
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Provider Practice Location Address
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Address Line | 8330 64TH ST
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City | KENOSHA
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State | WI
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Zip | 53142-7578
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Country | US
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Telephone | 800-657-5132
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Fax |
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Provider Business Mailing Address
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Address Line | 8330 64TH ST
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City | KENOSHA
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State | WI
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Zip | 53142-7578
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Country | US
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Telephone | 800-657-5132
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MR. GREG MARTIN GUTHRIE
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Credential |
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Telephone | 262-455-1221
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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 | WI
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