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General NPI Number Information
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NPI Number | 1750295432
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Entity Type | Organization
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Legal Business Name | VERNON AREA REHABILITATION CENTER INC
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Dates
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Enumeration Date | 09/30/2026
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Last Update Date | 09/30/2026
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Provider Practice Location Address
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Address Line | 2350 N CASALOMA DR
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City | APPLETON
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State | WI
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Zip | 54913-8215
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Country | US
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Telephone | 920-882-2800
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Fax | 920-749-5850
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Provider Business Mailing Address
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Address Line | 2350 N CASALOMA DR
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City | APPLETON
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State | WI
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Zip | 54913-8215
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Country | US
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Telephone | 920-882-2800
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Fax | 920-749-5850
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Authorized Official
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Title or Position | CONTROLLER
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Name | DENISE MAVES-LESSELYOUNG
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Credential |
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Telephone | 920-882-2830
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 252Y00000X
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Taxonomy Name | Early Intervention Provider Agency
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License Number |
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License Number State | NULL
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