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General NPI Number Information
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NPI Number | 1114143781
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Entity Type | Organization
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Legal Business Name | MEDICAL SUPPORT SERVICES INC
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 05/03/2023
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Provider Practice Location Address
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Address Line | 13203 GLOBE DR SUITE 111
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City | MOUNT PLEASANT
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State | WI
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Zip | 53177-1616
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Country | US
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Telephone | 262-287-0090
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Fax | 262-923-1939
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Provider Business Mailing Address
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Address Line | 13203 GLOBE DR SUITE 111
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City | MOUNT PLEASANT
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State | WI
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Zip | 53177-1616
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Country | US
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Telephone | 262-287-0090
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Fax | 262-923-1939
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Authorized Official
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Title or Position | CEO
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Name | LINDA K NIEMELA
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Credential | PT
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Telephone | 262-287-0090
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM1300X
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Taxonomy Name | Multi-Specialty Clinic/Center
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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 | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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