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NPI 1952256364

NPI 1952256364 : APPLETON RETIREMENT OPCO LLC : APPLETON, WI

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General NPI Number Information
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    NPI Number           |    1952256364
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    Entity Type          |    Organization 
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    Legal Business Name  |    APPLETON RETIREMENT OPCO LLC 
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Dates
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    Enumeration Date     |    03/02/2026
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    Last Update Date     |    03/02/2026
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Provider Practice Location Address
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    Address Line         |    200 W PACKARD ST 
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    City                 |    APPLETON
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    State                |    WI
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    Zip                  |    54911-6700
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    Country              |    US
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    Telephone            |    920-954-9990
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3520 E RIVER RD NE 
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    City                 |    ROCHESTER
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    State                |    MN
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    Zip                  |    55906-5407
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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    |    VP BUSINESS STRATEGY
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    Name                 |     JORDAN  RYAN 
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    Credential           |    
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    Telephone            |    507-251-6356
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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       |    
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    License Number State |    
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