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General NPI Number Information
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NPI Number | 1295830628
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Entity Type | Organization
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Legal Business Name | THE MONROE CLINIC, INC.
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Dates
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Enumeration Date | 09/13/2006
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Last Update Date | 04/20/2008
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Provider Practice Location Address
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Address Line | 515 22ND AVE
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City | MONROE
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State | WI
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Zip | 53566-1569
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Country | US
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Telephone | 608-324-2000
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Fax | 608-324-2469
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Provider Business Mailing Address
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Address Line | 515 22ND AVE
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City | MONROE
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State | WI
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Zip | 53566-1569
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Country | US
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Telephone | 608-324-2000
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Fax | 608-324-2469
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Authorized Official
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Title or Position | PFS DIRECTOR
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Name | MS. MARIE S ZINSLI
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Credential |
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Telephone | 608-324-2770
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number | 1003052
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License Number State | IL
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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 | 142
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License Number State | WI
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