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General NPI Number Information
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NPI Number | 1023312196
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Entity Type | Organization
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Legal Business Name | GUNDERSEN LUTHERAN MEDICAL CENTER
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Dates
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Enumeration Date | 01/05/2011
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Last Update Date | 03/25/2022
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Provider Practice Location Address
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Address Line | 1827 SIMS PL
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City | LA CROSSE
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State | WI
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Zip | 54601-6276
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Country | US
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Telephone | 608-775-6320
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Fax |
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Provider Business Mailing Address
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Address Line | 1827 SIMS PL
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City | LA CROSSE
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State | WI
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Zip | 54601-6276
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Country | US
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Telephone | 608-775-6320
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Fax |
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Authorized Official
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Title or Position | MEDICAL RECORD REVIEW SPECIALIST
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Name | ANDREA M MARKLAND
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Credential | RHIT
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Telephone | 608-775-6320
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State |
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