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General NPI Number Information
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NPI Number | 1922785393
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Entity Type | Organization
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Legal Business Name | MY LOVING HEARTS
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Dates
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Enumeration Date | 06/28/2023
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Last Update Date | 06/28/2023
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Provider Practice Location Address
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Address Line | 3500 N SHERMAN BLVD STE 201
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City | MILWAUKEE
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State | WI
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Zip | 53216-3463
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Country | US
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Telephone | 414-975-6772
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Fax |
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Provider Business Mailing Address
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Address Line | 329 W NORTH AVE
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City | MILWAUKEE
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State | WI
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Zip | 53212-3144
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Country | US
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Telephone | 414-975-6772
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | BRIDGETTE TURNBULL
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Credential | CNA
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Telephone | 414-588-9362
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251300000X
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Taxonomy Name | Local Education Agency (LEA)
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License Number |
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License Number State |
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