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General NPI Number Information
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NPI Number | 1831859271
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Entity Type | Organization
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Legal Business Name | TOTALLY KIDS CARE LLC
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Dates
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Enumeration Date | 12/27/2021
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Last Update Date | 12/27/2021
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Provider Practice Location Address
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Address Line | 1020 W HISTORIC MITCHELL ST
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City | MILWAUKEE
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State | WI
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Zip | 53204-3307
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Country | US
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Telephone | 414-841-9096
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Fax |
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Provider Business Mailing Address
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Address Line | 5114 N 81ST ST
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City | MILWAUKEE
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State | WI
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Zip | 53218-3601
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Country | US
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Telephone | 414-841-9096
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | MS. TEMEKO D JONES
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Credential |
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Telephone | 414-841-9096
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374J00000X
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Taxonomy Name | Doula
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License Number |
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License Number State |
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