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General NPI Number Information
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NPI Number | 1255827093
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF WISCONSIN HOSPITALS AND CLINICS AUTHORITY
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Dates
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Enumeration Date | 07/05/2018
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Last Update Date | 07/05/2018
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Provider Practice Location Address
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Address Line | 1050 E BROADWAY
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City | MONONA
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State | WI
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Zip | 53716-4023
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Country | US
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Telephone | 608-222-8779
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Fax |
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Provider Business Mailing Address
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Address Line | 7974 UW HEALTH CT
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City | MIDDLETON
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State | WI
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Zip | 53562-5531
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Country | US
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Telephone | 608-829-5485
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | ROBERT WAYNE FLANNERY
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Credential |
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Telephone | 608-821-4223
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 335E00000X
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Taxonomy Name | Prosthetic/Orthotic Supplier
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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