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General NPI Number Information
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NPI Number | 1780474783
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Entity Type | Organization
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Legal Business Name | PEARLS AFH LLC
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Dates
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Enumeration Date | 05/12/2025
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Last Update Date | 05/12/2025
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Provider Practice Location Address
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Address Line | 4925 W FOREST HOME AVE
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City | MILWAUKEE
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State | WI
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Zip | 53219-4722
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Country | US
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Telephone | 414-323-9395
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Fax | 414-252-0720
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Provider Business Mailing Address
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Address Line | 3237 N 1ST ST
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City | MILWAUKEE
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State | WI
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Zip | 53212-2016
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Country | US
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Telephone | 414-323-9395
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Fax | 414-252-0720
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Authorized Official
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Title or Position | OWNER / ADMINISTRATOR
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Name | QIERRA PAIGE
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Credential |
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Telephone | 414-323-9395
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3104A0625X
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Taxonomy Name | Assisted Living Facility (Mental Illness)
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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 | 3104A0630X
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Taxonomy Name | Assisted Living Facility (Behavioral Disturbances)
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License Number |
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License Number State |
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