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General NPI Number Information
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NPI Number | 1811795255
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Entity Type | Individual
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Provider Name | ANITRIA CHAIRSE
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Gender | Female
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Dates
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Enumeration Date | 03/03/2025
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Last Update Date | 03/03/2025
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Provider Practice Location Address
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Address Line | 1808 CREEK RD
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City | WEST BEND
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State | WI
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Zip | 53090-2024
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Country | US
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Telephone | 414-803-9747
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Fax | 414-803-9747
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Provider Business Mailing Address
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Address Line | 6040 W LISBON AVE STE 104
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City | MILWAUKEE
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State | WI
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Zip | 53210-2116
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Country | US
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Telephone | 414-803-9747
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Fax | 866-201-2295
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 0019184
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License Number State |
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