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General NPI Number Information
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NPI Number | 1245177146
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Entity Type | Organization
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Legal Business Name | UNITED COMMUNITY CENTER
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Dates
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Enumeration Date | 04/30/2026
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Last Update Date | 04/30/2026
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Provider Practice Location Address
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Address Line | 1028 S 9TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53204-1395
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Country | US
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Telephone | 414-384-3100
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Fax |
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Provider Business Mailing Address
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Address Line | 1028 S 9TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53204-1395
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF FINANCE
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Name | WILLIAM GRUVER
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Credential |
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Telephone | 414-384-2345
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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 |
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License Number State |
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