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General NPI Number Information
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NPI Number | 1518299353
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Entity Type | Organization
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Legal Business Name | DOUBLE R AND ASSOC., INC
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Dates
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Enumeration Date | 02/04/2010
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Last Update Date | 02/04/2010
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Provider Practice Location Address
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Address Line | S7559 US HIGHWAY 12
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City | NORTH FREEDOM
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State | WI
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Zip | 53951-9532
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Country | US
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Telephone | 608-643-6910
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Fax | 608-643-8640
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Provider Business Mailing Address
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Address Line | S7559 USH 12
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City | NORTH FREEDOM
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State | WI
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Zip | 53951-9532
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Country | US
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Telephone | 608-643-6910
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Fax | 608-643-8640
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Authorized Official
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Title or Position | ADMINISTRATOR/OWNER
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Name | MR. DOWARD K RICHARD
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Credential |
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Telephone | 608-643-6910
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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