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General NPI Number Information
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NPI Number | 1811850936
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Entity Type | Organization
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Legal Business Name | VOP SHEBOYGAN LLC
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Dates
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Enumeration Date | 12/05/2025
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Last Update Date | 12/05/2025
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Provider Practice Location Address
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Address Line | 2629 INDIANA AVE
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City | SHEBOYGAN
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State | WI
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Zip | 53081-4739
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Country | US
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Telephone | 920-226-3475
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Fax |
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Provider Business Mailing Address
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Address Line | 2629 INDIANA AVE
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City | SHEBOYGAN
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State | WI
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Zip | 53081-4739
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | CHRISTIAN N. CUMMINGS
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Credential |
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Telephone | 502-357-9000
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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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