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General NPI Number Information
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NPI Number | 1982649273
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Entity Type | Organization
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Legal Business Name | TOTAL HOME HEALTH CARE, LLC
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Dates
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Enumeration Date | 06/19/2006
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Last Update Date | 07/21/2022
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Provider Practice Location Address
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Address Line | R11027 RIVER RD
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City | RINGLE
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State | WI
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Zip | 54471-9711
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Country | US
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Telephone | 715-846-2955
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Fax | 715-355-9413
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Provider Business Mailing Address
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Address Line | R11027 RIVER RD
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City | RINGLE
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State | WI
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Zip | 54471-9711
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Country | US
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Telephone | 715-846-2955
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Fax | 715-355-9413
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. LAMONT H THAO
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Credential | MAPA
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Telephone | 715-846-2955
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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 | 43114000
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License Number State | WI
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