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General NPI Number Information
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NPI Number | 1770675712
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Entity Type | Organization
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Legal Business Name | INNOVO HEALTHCARE, LLC
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Dates
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Enumeration Date | 09/28/2006
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Last Update Date | 09/30/2025
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Provider Practice Location Address
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Address Line | 625 COMMERCE DR SUITE 200
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City | HUDSON
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State | WI
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Zip | 54016-8278
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Country | US
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Telephone | 715-377-9617
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Fax | 715-377-9623
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Provider Business Mailing Address
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Address Line | 625 COMMERCE DR STE 200
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City | HUDSON
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State | WI
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Zip | 54016-8361
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Country | US
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Telephone | 715-377-9617
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Fax | 715-377-9623
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Authorized Official
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Title or Position | CEO
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Name | STEVEN JAMES ALESSANDRO
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Credential |
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Telephone | 847-433-5650
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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 | 1050
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License Number State | WI
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