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General NPI Number Information
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NPI Number | 1114550324
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Entity Type | Organization
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Legal Business Name | ADVANCED THERAPY OPTIONS LLC
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Dates
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Enumeration Date | 02/16/2020
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Last Update Date | 02/16/2020
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Provider Practice Location Address
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Address Line | 1179 27TH ST
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City | CHETEK
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State | WI
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Zip | 54728-8036
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Country | US
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Telephone | 715-642-1927
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Fax |
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Provider Business Mailing Address
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Address Line | 1179 27TH ST
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City | CHETEK
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State | WI
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Zip | 54728-8036
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Country | US
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Telephone | 715-642-1927
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Fax |
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Authorized Official
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Title or Position | OWNER/DPT
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Name | SHARON SCHUMACHER
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Credential | DPT
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Telephone | 715-642-1927
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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