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General NPI Number Information
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NPI Number | 1255389581
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Entity Type | Organization
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Legal Business Name | HEALTH DYNAMICS, LLC
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Dates
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Enumeration Date | 05/05/2006
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Last Update Date | 11/27/2024
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Provider Practice Location Address
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Address Line | 1522 N PROSPECT AVE UNIT 1302
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City | MILWAUKEE
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State | WI
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Zip | 53202-6525
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Country | US
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Telephone | 414-573-0007
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Fax | 414-290-6755
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Provider Business Mailing Address
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Address Line | 1522 N PROSPECT AVE UNIT 1302
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City | MILWAUKEE
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State | WI
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Zip | 53202-6525
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Country | US
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Telephone | 414-573-0007
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Fax | 414-290-6755
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Authorized Official
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Title or Position | PRESIDENT
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Name | THOMAS A REMINGA
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Credential | M.D.
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Telephone | 414-290-6700
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363L00000X
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Taxonomy Name | Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 363A00000X
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Taxonomy Name | Physician Assistant
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 2083P0500X
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Taxonomy Name | Preventive Medicine/Occupational Environmental Medicine Physician
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License Number |
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License Number State |
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