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General NPI Number Information
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NPI Number | 1679225031
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Entity Type | Organization
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Legal Business Name | A PLACE FOR US LLC
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Dates
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Enumeration Date | 01/26/2022
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Last Update Date | 01/26/2022
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Provider Practice Location Address
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Address Line | 35 TOWER DR
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City | SUN PRAIRIE
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State | WI
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Zip | 53590-1225
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Country | US
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Telephone | 608-856-4778
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Fax | 608-541-2222
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Provider Business Mailing Address
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Address Line | 35 TOWER DR
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City | SUN PRAIRIE
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State | WI
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Zip | 53590-1225
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Country | US
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Telephone | 608-856-4778
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Fax | 608-541-2222
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | BONITA TAN NINNEMANN
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Credential | RN
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Telephone | 608-695-7734
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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