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NPI 1013870138

NPI 1013870138 : VOP MANITOWOC LLC : MANITOWOC, WI

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General NPI Number Information
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    NPI Number           |    1013870138
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    Entity Type          |    Organization 
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    Legal Business Name  |    VOP MANITOWOC LLC 
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Dates
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    Enumeration Date     |    12/05/2025
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    Last Update Date     |    12/05/2025
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Provider Practice Location Address
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    Address Line         |    3720 MENASHA AVE 
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    City                 |    MANITOWOC
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    State                |    WI
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    Zip                  |    54220-1138
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    Country              |    US
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    Telephone            |    920-682-5744
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3720 MENASHA AVE 
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    City                 |    MANITOWOC
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    State                |    WI
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    Zip                  |    54220-1138
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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    |    PRESIDENT
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    Name                 |     CHRISTIAN N. CUMMINGS 
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    Credential           |    
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    Telephone            |    502-357-9000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    310400000X
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    Taxonomy Name        |    Assisted Living Facility
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    License Number       |    
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    License Number State |    
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