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General NPI Number Information
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NPI Number | 1912303363
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Entity Type | Organization
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Legal Business Name | HMONG PERSONAL HOME CARE, INC
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Dates
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Enumeration Date | 11/13/2014
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Last Update Date | 11/13/2014
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Provider Practice Location Address
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Address Line | 4319 N 76TH ST STE 104
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City | MILWAUKEE
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State | WI
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Zip | 53222-2056
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Country | US
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Telephone | 414-383-4616
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Fax |
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Provider Business Mailing Address
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Address Line | 4319 N 76TH ST STE 104
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City | MILWAUKEE
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State | WI
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Zip | 53222-2056
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Country | US
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Telephone | 414-383-4616
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | CHUE NENG LEE
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Credential |
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Telephone | 920-212-0945
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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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