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General NPI Number Information
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NPI Number | 1639056971
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Entity Type | Organization
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Legal Business Name | VIP UNLIMITED CARE LLC
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Dates
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Enumeration Date | 08/19/2025
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Last Update Date | 08/19/2025
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Provider Practice Location Address
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Address Line | 429 BABE DR
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City | FAIRDALE
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State | KY
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Zip | 40118-9029
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Country | US
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Telephone | 707-509-9256
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Fax |
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Provider Business Mailing Address
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Address Line | 404 IVY RIDGE RD APT 12
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City | SYRACUSE
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State | NY
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Zip | 13210-4161
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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 | WAMUGUNGA FAUSTIN
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Credential |
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Telephone | 707-509-9256
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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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