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General NPI Number Information
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NPI Number | 1780850487
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Entity Type | Organization
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Legal Business Name | SOSIAB CARE, INC.
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Dates
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Enumeration Date | 05/02/2008
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Last Update Date | 09/30/2008
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Provider Practice Location Address
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Address Line | 621 N SHERMAN AVE SUITE B15
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City | MADISON
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State | WI
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Zip | 53704-4453
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Country | US
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Telephone | 608-244-1160
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Fax | 608-244-1170
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Provider Business Mailing Address
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Address Line | 621 N SHERMAN AVENUE SUITE B15
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City | MADISON
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State | WI
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Zip | 53704-4445
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Country | US
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Telephone | 608-244-1160
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Fax | 608-244-1170
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. SONGLUE VUE
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Credential |
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Telephone | 608-244-1160
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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 | 1040
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License Number State | WI
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