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General NPI Number Information
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NPI Number | 1972148211
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Entity Type | Organization
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Legal Business Name | ADAPTIVE TECHNOLOGY RESOURCES, INC.
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Dates
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Enumeration Date | 11/11/2019
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Last Update Date | 11/11/2019
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Provider Practice Location Address
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Address Line | W175N11163 STONEWOOD DR STE 232
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City | GERMANTOWN
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State | WI
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Zip | 53022-6503
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Country | US
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Telephone | 262-375-2020
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Fax | 262-375-6777
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Provider Business Mailing Address
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Address Line | W175N11163 STONEWOOD DR STE 232
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City | GERMANTOWN
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State | WI
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Zip | 53022-6503
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Country | US
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Telephone | 262-375-2020
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. RICHARD RAYMOND ZILLER
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Credential | MOTR/L
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Telephone | 262-375-2020
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 225CA2500X
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Taxonomy Name | Assistive Technology Supplier Rehabilitation Counselor
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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 | 225CA2400X
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Taxonomy Name | Assistive Technology Practitioner Rehabilitation Counselor
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 332BC3200X
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Taxonomy Name | Customized Equipment (DME)
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License Number |
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License Number State |
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Taxonomy #4
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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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