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General NPI Number Information
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NPI Number | 1265447098
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Entity Type | Organization
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Legal Business Name | WHEATON FRANCISCAN HEALTHCARE-ALL SAINTS, INC.
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Dates
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Enumeration Date | 07/30/2006
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Last Update Date | 10/03/2013
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Provider Practice Location Address
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Address Line | 1139 WARWICK WAY
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City | RACINE
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State | WI
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Zip | 53406-5661
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Country | US
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Telephone | 262-687-7550
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Fax |
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Provider Business Mailing Address
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Address Line | 1139 WARWICK WAY
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City | RACINE
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State | WI
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Zip | 53406-5661
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Country | US
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Telephone | 262-687-7550
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Fax |
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Authorized Official
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Title or Position | PRESIDENT/CEO
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Name | MS. SUSAN BOLAND
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Credential |
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Telephone | 262-687-4886
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 261QE0700X
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Taxonomy Name | End-Stage Renal Disease (ESRD) Treatment Clinic/Center
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License Number |
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License Number State | WI
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