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General NPI Number Information
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NPI Number | 1083652333
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Entity Type | Organization
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Legal Business Name | COMMONHEART, INC.
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Dates
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Enumeration Date | 06/02/2006
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Last Update Date | 10/14/2025
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Provider Practice Location Address
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Address Line | N16W23217 STONE RIDGE DR STE 350
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City | WAUKESHA
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State | WI
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Zip | 53188-1171
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Country | US
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Telephone | 844-206-4930
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Fax | 920-261-4840
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Provider Business Mailing Address
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Address Line | N16W23217 STONE RIDGE DR STE 350
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City | WAUKESHA
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State | WI
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Zip | 53188-1171
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Country | US
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Telephone | 844-206-4930
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Fax | 920-261-4840
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Authorized Official
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Title or Position | PRESIDENT
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Name | JUSTIN MUNZEL
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Credential |
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Telephone | 920-328-1029
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 2015
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License Number State | WI
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