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General NPI Number Information
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NPI Number | 1023719473
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Entity Type | Organization
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Legal Business Name | AIN DAH ING, INC.
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Dates
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Enumeration Date | 03/13/2023
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Last Update Date | 04/12/2023
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Provider Practice Location Address
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Address Line | 2113 13 12 1/2 AVE
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City | CAMERON
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State | WI
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Zip | 54822-9602
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Country | US
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Telephone | 715-458-1310
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Fax | 715-458-1311
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Provider Business Mailing Address
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Address Line | 2113 13 12 1/2 AVE
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City | CAMERON
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State | WI
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Zip | 54822-9602
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Country | US
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Telephone | 715-458-1310
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Fax | 715-458-1311
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | NATHAN L WHITING
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Credential | LPC, CSAC
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Telephone | 715-458-1310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0405X
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Taxonomy Name | Substance Use Disorder Rehabilitation Clinic/Center
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License Number |
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License Number State |
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