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General NPI Number Information
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NPI Number | 1124960307
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Entity Type | Organization
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Legal Business Name | ST.VINCENT HOSPITAL OF THE HOSPITAL SISTERS OF THE THIRD ORDER OF ST. FRANCIS
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Dates
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Enumeration Date | 04/07/2026
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Last Update Date | 04/07/2026
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Provider Practice Location Address
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Address Line | 835 S VAN BUREN ST SUITE B149
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City | GREEN BAY
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State | WI
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Zip | 54301-3526
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Country | US
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Telephone | 920-884-5550
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 13508
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City | GREEN BAY
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State | WI
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Zip | 54307-3508
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Country | US
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Telephone | 920-884-5550
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Fax |
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Authorized Official
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Title or Position | MARKET DIRECTOR-FINANCE OPERATIONS-
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Name | TRAVIS PITZEN
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Credential |
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Telephone | 920-431-3047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336S0011X
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Taxonomy Name | Specialty Pharmacy
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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