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General NPI Number Information
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NPI Number | 1902760440
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Entity Type | Organization
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Legal Business Name | MUSCODA WI OPCO LLC
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Dates
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Enumeration Date | 12/10/2025
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Last Update Date | 12/10/2025
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Provider Practice Location Address
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Address Line | 1000 N WISCONSIN AVE
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City | MUSCODA
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State | WI
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Zip | 53573-9115
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Country | US
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Telephone | 608-739-3186
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Fax |
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Provider Business Mailing Address
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Address Line | 300 BOULEVARD OF THE AMERICAS STE 101
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City | LAKEWOOD
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State | NJ
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Zip | 08701
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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 | AUTHORIZED OFFICIAL
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Name | AHARON FRANCO
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Credential |
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Telephone | 646-823-6464
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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