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General NPI Number Information
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NPI Number | 1003324617
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Entity Type | Organization
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Legal Business Name | VILLAGE PRIMARY CARE PROVIDERS LLC
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Dates
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Enumeration Date | 01/17/2018
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | W801 ROME OAK HILL RD
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City | PALMYRA
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State | WI
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Zip | 53156-9729
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Country | US
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Telephone | 262-875-4892
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Fax | 866-817-3838
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Provider Business Mailing Address
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Address Line | P.O. BOX 14000 ATT # 37640C
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City | BELFAST
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State | ME
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Zip | 04915-4033
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Country | US
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Telephone | 262-875-4892
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Fax | 866-817-3838
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Authorized Official
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Title or Position | OWNER
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Name | JOANN L BROWNE
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Credential | APNP
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Telephone | 262-875-4892
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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