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General NPI Number Information
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NPI Number | 1558861047
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Entity Type | Organization
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Legal Business Name | CARE FIRST, LLC
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Dates
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Enumeration Date | 02/20/2018
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Last Update Date | 02/20/2018
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Provider Practice Location Address
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Address Line | 2618 N 27TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53210-2601
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Country | US
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Telephone | 414-395-3776
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Fax |
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Provider Business Mailing Address
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Address Line | 5741 N 33RD ST
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City | MILWAUKEE
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State | WI
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Zip | 53209-4119
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Country | US
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Telephone | 414-514-3803
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Fax |
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Authorized Official
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Title or Position | DIRECTOR
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Name | JAMILA HARRISON
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Credential |
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Telephone | 414-514-3803
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State | WI
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