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General NPI Number Information
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NPI Number | 1427971605
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Entity Type | Organization
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Legal Business Name | AND I SHALL RISE, LLC
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Dates
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Enumeration Date | 08/03/2026
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Last Update Date | 08/03/2026
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Provider Practice Location Address
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Address Line | 209 14TH ST NE
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City | MENOMONIE
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State | WI
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Zip | 54751-2036
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Country | US
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Telephone | 715-317-0726
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Fax |
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Provider Business Mailing Address
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Address Line | 209 14TH ST NE
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City | MENOMONIE
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State | WI
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Zip | 54751-2036
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Country | US
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Telephone | 715-317-0726
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | NICOLE MARSH
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Credential |
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Telephone | 715-317-0726
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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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 | 372500000X
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Taxonomy Name | Chore Provider
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 373H00000X
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Taxonomy Name | Day Training/Habilitation Specialist
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License Number |
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License Number State |
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