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General NPI Number Information
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NPI Number | 1013780618
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Entity Type | Organization
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Legal Business Name | O P OSHKOSH INC
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Dates
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Enumeration Date | 11/06/2023
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Last Update Date | 11/06/2023
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Provider Practice Location Address
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Address Line | 1011 S 48TH ST APT 3
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City | WEST MILWAUKEE
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State | WI
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Zip | 53214-3564
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Country | US
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Telephone | 262-442-2310
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Fax |
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Provider Business Mailing Address
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Address Line | 777 N JEFFERSON ST STE 408
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City | MILWAUKEE
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State | WI
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Zip | 53202-3713
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Country | US
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Telephone | 844-439-7337
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Fax |
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Authorized Official
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Title or Position | CEO/CPS
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Name | JASON KATCHENAGO
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Credential | CPS
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Telephone | 877-439-7337
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 175T00000X
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Taxonomy Name | Peer Specialist
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License Number |
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License Number State |
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