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General NPI Number Information
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NPI Number | 1184905622
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Entity Type | Organization
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Legal Business Name | LAKEVIEW CARE PARTNERS
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Dates
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Enumeration Date | 08/29/2011
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Last Update Date | 04/09/2024
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Provider Practice Location Address
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Address Line | 515 S MARKET ST
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City | WESTFIELD
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State | WI
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Zip | 53964-9046
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Country | US
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Telephone | 262-782-7228
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Fax | 262-534-7257
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Provider Business Mailing Address
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Address Line | 515 S MARKET ST
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City | WESTFIELD
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State | WI
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Zip | 53964-9046
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Country | US
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Telephone | 262-782-7228
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Fax | 262-534-7257
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Authorized Official
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Title or Position | COO & ADMINISTRATOR
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Name | ANDY OLIVARES
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Credential |
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Telephone | 262-534-7297
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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License Number |
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License Number State |
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