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General NPI Number Information
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NPI Number | 1740193903
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Entity Type | Organization
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Legal Business Name | BRILLIANTAIRES
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Dates
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Enumeration Date | 09/28/2026
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Last Update Date | 09/28/2026
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Provider Practice Location Address
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Address Line | 2902 S DELAWARE AVE
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City | MILWAUKEE
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State | WI
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Zip | 53207-2517
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Country | US
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Telephone | 414-317-3014
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Fax |
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Provider Business Mailing Address
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Address Line | 2902 S DELAWARE AVE
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City | MILWAUKEE
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State | WI
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Zip | 53207-2517
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Country | US
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Telephone | 414-317-3014
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Fax |
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Authorized Official
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Title or Position | CEO FOUNDER
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Name | ROBERTA STEWARD
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Credential |
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Telephone | 414-317-3014
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number |
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License Number State | NULL
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