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General NPI Number Information
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NPI Number | 1750757175
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Entity Type | Organization
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Legal Business Name | FAMILY PATHWAYS INCORPORATED
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Dates
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Enumeration Date | 08/19/2015
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Last Update Date | 08/19/2015
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Provider Practice Location Address
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Address Line | 215 W CANYON DR
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City | HUDSON
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State | WI
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Zip | 54016-7720
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Country | US
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Telephone | 715-381-6516
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Fax | 715-381-7256
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Provider Business Mailing Address
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Address Line | PO BOX 1208
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City | HUDSON
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State | WI
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Zip | 54016-5208
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Country | US
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Telephone | 715-381-6516
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Fax | 715-381-7256
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Authorized Official
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Title or Position | OWNER
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Name | MRS. JODY ANN JOHNSON BARSNESS
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Credential |
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Telephone | 715-381-6516
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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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