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General NPI Number Information
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NPI Number | 1962650721
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Entity Type | Organization
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Legal Business Name | LORI KNAPP INC.
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Dates
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Enumeration Date | 09/05/2008
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Last Update Date | 05/27/2022
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Provider Practice Location Address
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Address Line | 1100 S MARQUETTE RD
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City | PRAIRIE DU CHIEN
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State | WI
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Zip | 53821-2414
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Country | US
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Telephone | 608-326-5536
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Fax | 608-326-4255
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Provider Business Mailing Address
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Address Line | 1100 S MARQUETTE RD
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City | PRAIRIE DU CHIEN
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State | WI
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Zip | 53821-2414
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Country | US
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Telephone | 608-326-5536
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Fax | 608-326-4255
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Authorized Official
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Title or Position | COO
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Name | TAMI L WEDGEWORTH
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Credential |
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Telephone | 608-326-5536
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320900000X
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Taxonomy Name | Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
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License Number |
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License Number State |
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Taxonomy #2
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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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