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General NPI Number Information
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NPI Number | 1104364033
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Entity Type | Organization
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Legal Business Name | ALLAY PALLIATIVE CARE INC
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Dates
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Enumeration Date | 02/11/2017
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Last Update Date | 02/11/2017
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Provider Practice Location Address
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Address Line | 325 N CORPORATE DR SUITE 260
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City | BROOKFIELD
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State | WI
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Zip | 53045-5801
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Country | US
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Telephone | 262-787-2980
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Fax |
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Provider Business Mailing Address
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Address Line | 325 N CORPORATE DR SUITE 260
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City | BROOKFIELD
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State | WI
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Zip | 53045-5801
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Country | US
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Telephone | 262-787-2980
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JOHN SAUER
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Credential |
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Telephone | 262-787-2980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207RH0002X
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Taxonomy Name | Hospice and Palliative Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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