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General NPI Number Information
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NPI Number | 1689890204
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Entity Type | Organization
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Legal Business Name | HOPLITE, INC.
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Dates
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Enumeration Date | 04/18/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 1719 WASHINGTON AVE
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City | RACINE
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State | WI
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Zip | 53403-2019
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Country | US
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Telephone | 262-633-6348
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Fax | 262-633-4282
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Provider Business Mailing Address
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Address Line | 1719 WASHINGTON AVE
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City | RACINE
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State | WI
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Zip | 53403-2019
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Country | US
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Telephone | 262-633-6348
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Fax | 262-633-4282
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | MR. NORMAN L STEFFEN
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Credential | NHA
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Telephone | 262-633-6348
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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