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General NPI Number Information
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NPI Number | 1093602567
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Entity Type | Organization
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Legal Business Name | IREADAPT LLC
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Dates
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Enumeration Date | 06/18/2025
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Last Update Date | 06/18/2025
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Provider Practice Location Address
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Address Line | 721 S 3RD AVE
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City | WAUSAU
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State | WI
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Zip | 54401-5355
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Country | US
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Telephone | 715-971-9855
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Fax |
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Provider Business Mailing Address
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Address Line | 152510 S MOUNTAIN RD
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City | WAUSAU
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State | WI
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Zip | 54401-4597
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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 | MANAGER - VRS
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Name | MR. DANY ADNAN RIZK
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Credential | VRS-VRT
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Telephone | 715-971-9855
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 152WL0500X
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Taxonomy Name | Low Vision Rehabilitation Optometrist
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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 | 152WV0400X
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Taxonomy Name | Vision Therapy Optometrist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 174H00000X
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Taxonomy Name | Health Educator
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 225CA2400X
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Taxonomy Name | Assistive Technology Practitioner Rehabilitation Counselor
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 225CA2500X
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Taxonomy Name | Assistive Technology Supplier Rehabilitation Counselor
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 2255R0406X
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Taxonomy Name | Blind Rehabilitation Specialist/Technologist
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License Number |
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License Number State |
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