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General NPI Number Information
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NPI Number | 1134782964
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Entity Type | Organization
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Legal Business Name | CHARTWELL MIDWEST WISCONSIN, LLC
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Dates
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Enumeration Date | 04/17/2019
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Last Update Date | 12/23/2025
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Provider Practice Location Address
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Address Line | 1345 DEMING WAY STE 102
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City | MIDDLETON
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State | WI
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Zip | 53562-3688
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Country | US
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Telephone | 68-831-8555
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Fax |
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Provider Business Mailing Address
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Address Line | 1345 DEMING WAY STE 102
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City | MIDDLETON
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State | WI
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Zip | 53562-3688
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Country | US
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Telephone | 608-831-8555
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Fax | 608-831-9747
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Authorized Official
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Title or Position | INTERIM PRESIDENT
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Name | SUSAN MEIER
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Credential |
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Telephone | 608-831-8555
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number |
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License Number State |
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