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General NPI Number Information
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NPI Number | 1164215307
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Entity Type | Organization
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Legal Business Name | FAMILY HEALTH CENTER OF MARSHFIELD, INC.
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Dates
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Enumeration Date | 05/28/2025
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Last Update Date | 05/28/2025
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Provider Practice Location Address
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Address Line | 5110N W HWY 51
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City | MERCER
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State | WI
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Zip | 54547-8900
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Country | US
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Telephone | 715-221-5600
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Fax |
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Provider Business Mailing Address
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Address Line | 1307 N SAINT JOSEPH AVE
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City | MARSHFIELD
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State | WI
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Zip | 54449-1340
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Country | US
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Telephone | 715-221-5600
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | GREGORY R NYCZ
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Credential |
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Telephone | 715-387-9137
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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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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