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General NPI Number Information
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NPI Number | 1982541967
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Entity Type | Organization
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Legal Business Name | VANCE CARE LLC
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Dates
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Enumeration Date | 04/29/2026
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Last Update Date | 04/29/2026
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Provider Practice Location Address
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Address Line | 6141 N 36TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53209-3607
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Country | US
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Telephone | 414-499-7542
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 324
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City | OAK CREEK
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State | WI
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Zip | 53154-0324
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | CHARELL VANCE
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Credential |
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Telephone | 414-499-7542
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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 |
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License Number State |
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