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General NPI Number Information
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NPI Number | 1104025444
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Entity Type | Organization
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Legal Business Name | CITY OF WEST ALLIS
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Dates
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Enumeration Date | 07/17/2007
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Last Update Date | 09/26/2022
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Provider Practice Location Address
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Address Line | 7120 W NATIONAL AVE
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City | WEST ALLIS
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State | WI
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Zip | 53214-4732
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Country | US
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Telephone | 414-302-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 7120 W NATIONAL AVE
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City | WEST ALLIS
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State | WI
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Zip | 53214-4732
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | HEALTH COMMISSIONER
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Name | MR. ROBERT LEISCHOW
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Credential |
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Telephone | 414-302-8627
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State | WI
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