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General NPI Number Information
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NPI Number | 1801395686
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Entity Type | Organization
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Legal Business Name | MOBILE CARE NP, LLC
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Dates
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Enumeration Date | 02/07/2018
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Last Update Date | 02/07/2018
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Provider Practice Location Address
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Address Line | 5050 W BROWN DEER RD
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City | BROWN DEER
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State | WI
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Zip | 53223-2424
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Country | US
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Telephone | 414-367-6014
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Fax | 414-433-1852
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Provider Business Mailing Address
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Address Line | 11214 W PEREGRINE WAY
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City | GREENFIELD
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State | WI
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Zip | 53228-3138
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Country | US
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Telephone | 414-534-0604
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Fax | 414-433-1852
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Authorized Official
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Title or Position | NPBO
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Name | DR. ROSALYN LAKEY MCFARLAND
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Credential | DNP, RN, APNP, FNP-C
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Telephone | 414-308-9468
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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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