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General NPI Number Information
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NPI Number | 1982856076
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Entity Type | Organization
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Legal Business Name | ALIGN THERAPY,LLC
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Dates
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Enumeration Date | 10/21/2008
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Last Update Date | 12/30/2010
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Provider Practice Location Address
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Address Line | 10767 NYMAN AVENUE
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City | HAYWARD
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State | WI
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Zip | 54843
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Country | US
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Telephone | 715-638-2244
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Fax | 715-638-2368
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Provider Business Mailing Address
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Address Line | 10767 NYMAN AVENUE
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City | HAYWARD
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State | WI
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Zip | 54843
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Country | US
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Telephone | 715-638-2244
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Fax | 715-638-2368
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Authorized Official
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Title or Position | OWNER/THERAPIST
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Name | MS. PAMELA L. WEBER
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Credential | P.T.
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Telephone | 715-638-2244
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 253Z00000X
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Taxonomy Name | In Home Supportive Care Agency
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License Number | 3564-024
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License Number State | WI
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