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General NPI Number Information
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NPI Number | 1275526725
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Entity Type | Organization
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Legal Business Name | ADULT SERVICES UNLIMITED, INC.
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Dates
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Enumeration Date | 08/30/2005
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Last Update Date | 07/06/2009
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Provider Practice Location Address
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Address Line | 220 S. RIVER STREET
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City | PLAINS
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State | PA
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Zip | 18705-1137
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Country | US
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Telephone | 570-824-3444
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Fax | 570-824-4021
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Provider Business Mailing Address
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Address Line | 111 WEST MICHIGAN STREET
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City | MILWAUKEE
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State | WI
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Zip | 53203-2903
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Country | US
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Telephone | 414-908-8119
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Fax | 414-908-7105
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | ROCH CARTER
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Credential |
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Telephone | 414-908-8221
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0401X
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Taxonomy Name | Comprehensive Outpatient Rehabilitation Facility (CORF)
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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License Number |
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License Number State |
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