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General NPI Number Information
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NPI Number | 1861661308
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Entity Type | Organization
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Legal Business Name | CEDAR SPRINGS HEALTH & REHADILITATION CENTER
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Dates
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Enumeration Date | 02/28/2008
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Last Update Date | 09/06/2023
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Provider Practice Location Address
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Address Line | 961 LAMPLIGHTER LN
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City | GRAFTON
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State | WI
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Zip | 53024-9314
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Country | US
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Telephone | 262-387-0023
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Fax | 262-387-0025
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Provider Business Mailing Address
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Address Line | N27W5707 LINCOLN BLVD
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City | CEDARBURG
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State | WI
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Zip | 53012-2852
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Country | US
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Telephone | 262-376-7676
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Fax | 262-376-5208
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Authorized Official
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Title or Position | OCCUPATIONAL THERAPIST REGISTERED
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Name | MRS. DEBBIE KAY DLUGOPOLSKI
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Credential | OTR
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Telephone | 262-376-7676
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | 2103-026
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License Number State | WY
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