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General NPI Number Information
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NPI Number | 1912384439
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Entity Type | Organization
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Legal Business Name | WP-ARC ARBOR VIEW HOLDINGS LLC
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Dates
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Enumeration Date | 05/05/2015
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Last Update Date | 05/05/2015
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Provider Practice Location Address
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Address Line | 34201 ARBOR LN
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City | BURLINGTON
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State | WI
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Zip | 53105-8980
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Country | US
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Telephone | 828-322-5535
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Fax |
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Provider Business Mailing Address
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Address Line | 34201 ARBOR LN
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City | BURLINGTON
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State | WI
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Zip | 53105-8980
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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 | CEO
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Name | MR. CHARLES TREFZGER
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Credential |
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Telephone | 828-322-5535
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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 | 0015512
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License Number State | WI
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