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General NPI Number Information
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NPI Number | 1184234163
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Entity Type | Organization
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Legal Business Name | WEBER HEALTH LOGISTICS, LLC
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Dates
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Enumeration Date | 08/05/2020
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Last Update Date | 04/03/2024
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Provider Practice Location Address
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Address Line | 333 FRONT ST N
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City | LA CROSSE
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State | WI
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Zip | 54601-3220
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Country | US
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Telephone | 608-668-2111
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Fax |
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Provider Business Mailing Address
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Address Line | 333 FRONT ST N STE 700
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City | LA CROSSE
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State | WI
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Zip | 54601-3220
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Country | US
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Telephone | 608-668-2111
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING COORDINATOR
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Name | NATALIA KINNEY
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Credential |
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Telephone | 262-228-8002
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0100X
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Taxonomy Name | Health Service Clinic/Center
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License Number |
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License Number State |
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