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General NPI Number Information
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NPI Number | 1184340655
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Entity Type | Organization
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Legal Business Name | V MEDICAL CLINIC, LLC
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Dates
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Enumeration Date | 10/17/2022
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Last Update Date | 04/19/2023
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Provider Practice Location Address
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Address Line | 7114 W CAPITOL DR
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City | MILWAUKEE
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State | WI
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Zip | 53216-2052
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Country | US
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Telephone | 262-402-7680
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Fax |
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Provider Business Mailing Address
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Address Line | 1162 DURANGO DRIVE
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City | HARTFORD
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State | WI
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Zip | 53027
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Country | US
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Telephone | 262-402-7680
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | VICKI MILROY
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Credential | APNP
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Telephone | 262-402-7680
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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