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General NPI Number Information
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NPI Number | 1184901878
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Entity Type | Organization
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Legal Business Name | WHOLE HEALTH SERVICES LLC
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Dates
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Enumeration Date | 11/08/2011
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Last Update Date | 02/01/2012
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Provider Practice Location Address
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Address Line | 6720 FRANK LLOYD WRIGHT AVE SUITE 103
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City | MIDDLETON
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State | WI
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Zip | 53562-1753
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Country | US
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Telephone | 608-821-0123
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Fax | 608-821-0124
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Provider Business Mailing Address
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Address Line | 6720 FRANK LLOYD WRIGHT AVE SUITE 103
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City | MIDDLETON
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State | WI
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Zip | 53562-1753
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Country | US
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Telephone | 608-821-0123
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Fax | 608-821-0124
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. AMIE GIESEKE
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Credential |
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Telephone | 608-821-0123
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163W00000X
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Taxonomy Name | Registered Nurse
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License Number | 177540-30
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 176B00000X
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Taxonomy Name | Midwife
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License Number | 84-049
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 4484-033
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 367A00000X
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Taxonomy Name | Advanced Practice Midwife
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License Number | 148850-032
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 261QB0400X
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Taxonomy Name | Birthing Clinic/Center
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License Number |
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License Number State |
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