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General NPI Number Information
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NPI Number | 1285324459
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Entity Type | Organization
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Legal Business Name | AAH OF WISCONSIN I, LLC
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Dates
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Enumeration Date | 05/11/2023
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Last Update Date | 05/11/2023
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Provider Practice Location Address
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Address Line | 134 W COLUMBIA ST STE 2
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City | CHIPPEWA FALLS
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State | WI
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Zip | 54729-2347
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Country | US
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Telephone | 715-861-8353
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Fax | 715-203-0273
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Provider Business Mailing Address
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Address Line | 10 CADILLAC DR STE 400
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City | BRENTWOOD
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State | TN
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Zip | 37027-1001
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Country | US
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Telephone | 615-637-9163
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Fax | 615-373-4457
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Authorized Official
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Title or Position | SVP, CHIEF LEGAL OFFICER
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Name | RUSSELL ADKINS
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Credential |
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Telephone | 615-309-5668
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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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 | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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