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General NPI Number Information
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NPI Number | 1508023185
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Entity Type | Organization
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Legal Business Name | NORTHPOINT MED & REHAB CENTER
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Dates
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Enumeration Date | 05/21/2008
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Last Update Date | 05/21/2008
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Provider Practice Location Address
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Address Line | 1850 BOWEN ST
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City | OSHKOSH
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State | WI
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Zip | 54901-2356
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Country | US
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Telephone | 920-233-4011
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Fax | 920-233-2641
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Provider Business Mailing Address
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Address Line | 1850 BOWEN ST
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City | OSHKOSH
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State | WI
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Zip | 54901-2356
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Country | US
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Telephone | 920-233-4011
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Fax | 920-233-2641
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. WILLIAM N PARKER
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Credential | LNHA
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Telephone | 920-233-4011
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225100000X
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Taxonomy Name | Physical Therapist
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License Number | 10918024
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License Number State | WI
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