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General NPI Number Information
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NPI Number | 1992626204
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Entity Type | Organization
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Legal Business Name | NOURISHCARE WISCONSIN
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Dates
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Enumeration Date | 07/22/2026
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Last Update Date | 07/22/2026
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Provider Practice Location Address
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Address Line | 3957 N 39TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53216-2516
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Country | US
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Telephone | 920-717-3302
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Fax |
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Provider Business Mailing Address
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Address Line | 3957 N 39TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53216-2516
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Country | US
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Telephone | 920-717-3302
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MISS CASSHEA FOWLER
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Credential |
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Telephone | 920-717-3302
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174200000X
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Taxonomy Name | Meals Provider
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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