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General NPI Number Information
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NPI Number | 1619720414
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Entity Type | Organization
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Legal Business Name | 4:13 CARE SERVICES INC.
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Dates
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Enumeration Date | 04/10/2024
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Last Update Date | 04/10/2024
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Provider Practice Location Address
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Address Line | 816 ECHO DR
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City | BURLINGTON
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State | WI
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Zip | 53105-1311
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Country | US
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Telephone | 262-212-3596
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 70
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City | BURLINGTON
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State | WI
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Zip | 53105-0070
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER/PRESIDENT
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Name | CHAD SUTKAY
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Credential |
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Telephone | 262-212-3596
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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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