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General NPI Number Information
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NPI Number | 1134432578
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Entity Type | Organization
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Legal Business Name | AURORA HEALTH CARE METRO, INC.
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Dates
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Enumeration Date | 07/14/2010
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Last Update Date | 07/14/2010
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Provider Practice Location Address
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Address Line | 5900 S LAKE DR
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City | CUDAHY
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State | WI
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Zip | 53110-3171
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Country | US
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Telephone | 414-489-4100
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Fax |
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Provider Business Mailing Address
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Address Line | 5900 S LAKE DR
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City | CUDAHY
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State | WI
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Zip | 53110-3171
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Country | US
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Telephone | 414-489-4100
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Fax |
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Authorized Official
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Title or Position | VP
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Name | DAVID EAGER
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Credential |
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Telephone | 414-647-3438
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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License Number |
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License Number State |
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