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General NPI Number Information
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NPI Number | 1467860114
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Entity Type | Organization
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Legal Business Name | ACUMEN OF WISCONSIN, LLC
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Dates
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Enumeration Date | 07/25/2014
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Last Update Date | 08/01/2023
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Provider Practice Location Address
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Address Line | 204 3RD AVENUE SUITE 110
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City | OSCEOLA
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State | WI
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Zip | 54020
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Country | US
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Telephone | 877-901-5826
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Fax | 800-687-3121
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Provider Business Mailing Address
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Address Line | 5416 E BASELINE RD STE 200
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City | MESA
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State | AZ
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Zip | 85206-4704
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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 | COMPLIANCE ANALYST
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Name | TARA KATALINIC
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Credential |
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Telephone | 480-295-3328
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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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 | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State | WI
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