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General NPI Number Information
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NPI Number | 1457165573
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Entity Type | Organization
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Legal Business Name | JOHN JOSEPH COMPANIES
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Dates
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Enumeration Date | 02/07/2025
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Last Update Date | 02/07/2025
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Provider Practice Location Address
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Address Line | 2767 SAINT PATS DR
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City | SUAMICO
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State | WI
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Zip | 54313-8142
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Country | US
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Telephone | 920-619-2982
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 5634
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City | DE PERE
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State | WI
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Zip | 54115-5634
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OPERATIONS MANAGER
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Name | BRENT HEIM
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Credential |
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Telephone | 920-619-2982
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 171WH0202X
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Taxonomy Name | Home Modifications Contractor
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License Number |
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License Number State |
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