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General NPI Number Information
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NPI Number | 1639957400
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Entity Type | Organization
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Legal Business Name | THE RAINBOW INSTITUTE OF LEARNING INC
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Dates
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Enumeration Date | 09/21/2023
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Last Update Date | 02/06/2024
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Provider Practice Location Address
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Address Line | 5155 N 28TH ST APT 4
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City | MILWAUKEE
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State | WI
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Zip | 53209-5554
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Country | US
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Telephone | 414-677-5005
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Fax |
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Provider Business Mailing Address
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Address Line | 148 E MILWAUKEE ST # 4026
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City | JEFFERSON
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State | WI
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Zip | 53549-1636
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Country | US
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Telephone | 715-994-2400
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Fax | 715-483-7080
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Authorized Official
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Title or Position | EXECUTIVE OFFICER
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Name | JEWELL CARTER
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Credential |
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Telephone | 715-994-2400
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251C00000X
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Taxonomy Name | Developmentally Disabled Services Day Training 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 | 385H00000X
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Taxonomy Name | Respite Care
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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 | 385HR2055X
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Taxonomy Name | Child Mental Illness Respite Care
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 385HR2060X
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Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 385HR2065X
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Taxonomy Name | Child Physical Disabilities Respite Care
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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