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General NPI Number Information
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NPI Number | 1811392046
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Entity Type | Organization
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Legal Business Name | MSL HOME CARE, INC
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Dates
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Enumeration Date | 10/30/2014
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Last Update Date | 10/30/2014
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Provider Practice Location Address
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Address Line | 830 N 109TH ST SUITE 27
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City | WAUWATOSA
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State | WI
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Zip | 53226-3754
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Country | US
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Telephone | 414-282-8606
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Fax | 866-610-0629
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Provider Business Mailing Address
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Address Line | 830 N 109TH ST SUITE 27
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City | WAUWATOSA
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State | WI
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Zip | 53226-3754
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Country | US
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Telephone | 414-282-8606
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Fax | 866-610-0629
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. MICHAEL LAIRD
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Credential |
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Telephone | 414-282-8606
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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