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General NPI Number Information
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NPI Number | 1699819243
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Entity Type | Organization
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Legal Business Name | AS YOU WISH HOME SERVICES
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 712 LOIS DR
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City | SUN PRAIRIE
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State | WI
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Zip | 53590-1100
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Country | US
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Telephone | 608-834-9989
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Fax | 608-825-7551
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Provider Business Mailing Address
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Address Line | 711 LOIS DR
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City | SUN PRAIRIE
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State | WI
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Zip | 53590-1177
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Country | US
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Telephone | 608-834-9989
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Fax | 608-825-7551
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Authorized Official
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Title or Position | DIRECTOR OWNER
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Name | MRS. BARBARA JO BROOKS
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Credential |
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Telephone | 608-834-9989
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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 | 251E00000X
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License Number State | WI
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