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General NPI Number Information
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NPI Number | 1912901562
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Entity Type | Organization
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Legal Business Name | REGAL HOME HEALTH SERVICES
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Dates
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Enumeration Date | 06/10/2005
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Last Update Date | 04/30/2025
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Provider Practice Location Address
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Address Line | 11805 W HAMPTON AVE STE 100
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City | MILWAUKEE
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State | WI
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Zip | 53225-3612
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Country | US
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Telephone | 414-355-7801
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Fax | 414-355-7802
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Provider Business Mailing Address
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Address Line | 11805 W HAMPTON AVE STE 100
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City | MILWAUKEE
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State | WI
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Zip | 53225-3612
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Country | US
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Telephone | 414-355-7801
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Fax | 414-355-7802
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Authorized Official
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Title or Position | PRESIDENT
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Name | SIXTUS AGUWA
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Credential |
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Telephone | 414-355-7801
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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 | 1032
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License Number State | WI
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