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General NPI Number Information
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NPI Number | 1194278952
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Entity Type | Organization
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Legal Business Name | AURORA HEALTH CARE
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Dates
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Enumeration Date | 07/28/2016
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Last Update Date | 07/28/2016
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Provider Practice Location Address
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Address Line | 9200 W LOOMIS RD STE 107
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City | FRANKLIN
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State | WI
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Zip | 53132-9621
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Country | US
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Telephone | 414-529-9128
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Fax | 414-529-9109
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Provider Business Mailing Address
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Address Line | 9200 W LOOMIS RD STE 107
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City | FRANKLIN
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State | WI
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Zip | 53132-9621
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Country | US
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Telephone | 414-529-9128
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Fax | 414-529-9109
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Authorized Official
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Title or Position | MEDICAL DIRECTOR
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Name | DR. KIM HANSEN
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Credential | MD
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Telephone | 414-649-6000
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number | 2743
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License Number State | WI
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