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General NPI Number Information
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NPI Number | 1396299608
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Entity Type | Organization
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Legal Business Name | CARTOGRAPHICS CORPORATION
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Dates
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Enumeration Date | 08/04/2016
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Last Update Date | 08/04/2016
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Provider Practice Location Address
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Address Line | 1519 W COURT ST
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City | JANESVILLE
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State | WI
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Zip | 53548-3501
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Country | US
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Telephone | 608-758-3324
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Fax | 608-758-5505
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Provider Business Mailing Address
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Address Line | 1519 W COURT ST
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City | JANESVILLE
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State | WI
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Zip | 53548-3501
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Country | US
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Telephone | 608-758-3324
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Fax | 608-758-5505
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Authorized Official
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Title or Position | VICE PRESIDENT
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Name | MS. KIMBERLY K HUBBARD-HERNANDEZ
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Credential |
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Telephone | 608-758-3324
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 110107
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number | 110210
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | NONE
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License Number State |
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