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General NPI Number Information
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NPI Number | 1912155664
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Entity Type | Organization
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Legal Business Name | DUNLOP REHAB STAFFING, INC.
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Dates
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Enumeration Date | 09/07/2008
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Last Update Date | 09/07/2008
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Provider Practice Location Address
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Address Line | 3112 E PARKSIDE BLVD APT 28
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City | APPLETON
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State | WI
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Zip | 54915-5618
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Country | US
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Telephone | 920-739-1607
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 521
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City | NEENAH
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State | WI
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Zip | 54957-0521
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Country | US
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Telephone | 920-739-1607
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | RICHARD TRENT DUNLOP
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Credential | PHYSICAL THERAPIST
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Telephone | 920-739-1607
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2000X
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Taxonomy Name | Physical Therapy Clinic/Center
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License Number |
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License Number State |
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