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General NPI Number Information
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NPI Number | 1083054555
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF WISCONSIN HOSPITAL AND CLINICS
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Dates
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Enumeration Date | 06/28/2013
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Last Update Date | 06/28/2013
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Provider Practice Location Address
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Address Line | 600 HIGHLAND AVE # 6715
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City | MADISON
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State | WI
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Zip | 53792-0001
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Country | US
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Telephone | 608-263-7535
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Fax | 608-262-7284
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Provider Business Mailing Address
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Address Line | 600 HIGHLAND AVE # 6715
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City | MADISON
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State | WI
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Zip | 53792-0001
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Country | US
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Telephone | 608-263-7535
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Fax | 608-262-7284
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Authorized Official
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Title or Position | PRESIDENT AND CEO
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Name | MRS. DONNA KATEN-BAHENSKY
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Credential |
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Telephone | 608-263-8025
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number |
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License Number State |
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