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General NPI Number Information
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NPI Number | 1194682906
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Entity Type | Organization
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Legal Business Name | REAL HEALTHCARE
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Dates
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Enumeration Date | 01/06/2026
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Last Update Date | 01/06/2026
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Provider Practice Location Address
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Address Line | 496 MC CANNA PKWY
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City | BURLINGTON
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State | WI
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Zip | 53105-3623
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Country | US
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Telephone | 414-296-6128
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Fax | 888-538-6903
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Provider Business Mailing Address
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Address Line | 3209 TANGLEWOOD DR
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City | WAUKESHA
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State | WI
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Zip | 53189-6889
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Country | US
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Telephone | 262-385-2004
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Fax | 888-571-5845
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Authorized Official
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Title or Position | OWNER
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Name | REBECCA HALVERSON
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Credential | APNP
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Telephone | 262-385-2004
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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