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General NPI Number Information
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NPI Number | 1306095377
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Entity Type | Organization
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Legal Business Name | BISKOBING ENTERPRISES, INC.
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Dates
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Enumeration Date | 09/15/2008
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Last Update Date | 09/15/2008
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Provider Practice Location Address
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Address Line | 1205 FIRETHORN DR
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City | WEST BEND
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State | WI
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Zip | 53090-5443
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Country | US
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Telephone | 262-751-3789
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Fax | 262-335-3789
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Provider Business Mailing Address
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Address Line | 1207 FIRETHORN DR
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City | WEST BEND
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State | WI
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Zip | 53090-5443
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Country | US
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Telephone | 262-335-3789
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Fax | 262-335-3789
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Authorized Official
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Title or Position | PRESIDENT / PROGRAM COORDINATOR
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Name | MS. NANCY ANN BISKOBING
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Credential | L.P.N.
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Telephone | 262-335-3789
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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