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General NPI Number Information
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NPI Number | 1871306506
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Entity Type | Organization
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Legal Business Name | INDIGO BRIDGE CARE LLC
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Dates
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Enumeration Date | 01/28/2025
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | W177N9886 RIVERCREST DR STE 262
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City | GERMANTOWN
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State | WI
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Zip | 53022-4601
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Country | US
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Telephone | 715-252-8015
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Fax |
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Provider Business Mailing Address
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Address Line | 4609 NICOLET AVE
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City | STEVENS POINT
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State | WI
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Zip | 54481-5666
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Country | US
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Telephone | 715-252-8015
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | GEORGE DIEKELMAN
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Credential |
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Telephone | 715-252-8015
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number |
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License Number State |
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