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General NPI Number Information
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NPI Number | 1679051908
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Entity Type | Organization
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Legal Business Name | CARING WITH HONOR RONALD L SCASNY PTR
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Dates
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Enumeration Date | 07/30/2018
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Last Update Date | 07/30/2018
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Provider Practice Location Address
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Address Line | 3073 S CHASE AVE STE 300
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City | MILWAUKEE
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State | WI
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Zip | 53207-2667
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Country | US
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Telephone | 414-585-8383
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Fax | 414-755-4410
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Provider Business Mailing Address
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Address Line | 3073 S CHASE AVE STE 300
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City | MILWAUKEE
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State | WI
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Zip | 53207-2667
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Country | US
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Telephone | 414-585-8383
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Fax | 414-755-4410
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Authorized Official
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Title or Position | OWNER
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Name | RONALD L SCASNY
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Credential |
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Telephone | 414-585-8383
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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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