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General NPI Number Information
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NPI Number | 1699389593
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Entity Type | Organization
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Legal Business Name | INFINITY CARE SERVICES LLC
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Dates
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Enumeration Date | 09/08/2020
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Last Update Date | 09/08/2020
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Provider Practice Location Address
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Address Line | 9203 W BLUEMOUND RD STE A
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City | MILWAUKEE
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State | WI
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Zip | 53226-4484
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Country | US
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Telephone | 414-763-0239
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Fax | 414-763-1276
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Provider Business Mailing Address
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Address Line | 9203 W BLUEMOUND RD STE A
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City | MILWAUKEE
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State | WI
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Zip | 53226-4484
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Country | US
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Telephone | 414-763-0239
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Fax | 414-763-1276
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MRS. LATASHA JOHNSTONE
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Credential |
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Telephone | 414-232-7726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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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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