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General NPI Number Information
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NPI Number | 1700176682
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Entity Type | Organization
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Legal Business Name | LINCOLN HEALTHCARE, INC
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Dates
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Enumeration Date | 04/13/2011
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Last Update Date | 04/13/2011
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Provider Practice Location Address
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Address Line | W227N16841 TILLIE LAKE COURT
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City | JACKSON
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State | WI
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Zip | 53037
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Country | US
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Telephone | 262-677-9200
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Fax | 262-677-9208
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Provider Business Mailing Address
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Address Line | W227N16841 TILLIE LAKE COURT
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City | JACKSON
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State | WI
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Zip | 53037
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Country | US
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Telephone | 262-677-9200
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Fax | 262-677-9208
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RICHARD RAY LINCOLN
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Credential |
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Telephone | 262-677-9200
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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