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General NPI Number Information
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NPI Number | 1568918688
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Entity Type | Organization
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Legal Business Name | CARING HANDS OF HOPE LLC
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Dates
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Enumeration Date | 08/29/2016
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Last Update Date | 08/29/2016
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Provider Practice Location Address
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Address Line | W666 COUNTY ROAD DD
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City | THERESA
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State | WI
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Zip | 53091-9701
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Country | US
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Telephone | 920-539-9986
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Fax | 920-488-2824
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Provider Business Mailing Address
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Address Line | W666 COUNTY ROAD DD
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City | THERESA
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State | WI
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Zip | 53091-9701
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Country | US
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Telephone | 920-539-9986
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Fax | 920-488-2824
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Authorized Official
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Title or Position | OWER
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Name | BRITA BANDLE
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Credential |
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Telephone | 920-539-9986
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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 |
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