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General NPI Number Information
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NPI Number | 1235330226
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Entity Type | Organization
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Legal Business Name | ANDREW W. KANE & ASSOCIATES, S.C.
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Dates
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Enumeration Date | 05/29/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 2815 N SUMMIT AVE
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City | MILWAUKEE
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State | WI
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Zip | 53211-3439
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Country | US
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Telephone | 414-964-6449
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Fax | 414-964-9814
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Provider Business Mailing Address
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Address Line | 2815 N SUMMIT AVE
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City | MILWAUKEE
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State | WI
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Zip | 53211-3439
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Country | US
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Telephone | 414-964-6449
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Fax | 414-964-9814
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Authorized Official
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Title or Position | CLINIC DIRECTOR
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Name | DR. ANDREW W KANE
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Credential | PH.D.
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Telephone | 414-964-6449
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | WI
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