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General NPI Number Information
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NPI Number | 1316092976
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF WISCONSIN SYSTEM NON PAYROLL
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Dates
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Enumeration Date | 01/24/2007
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Last Update Date | 12/04/2024
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Provider Practice Location Address
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Address Line | 410 S THIRD ST B31 WEB UW RIVER FALLS SPEECH AND HEARING CLINIC
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City | RIVER FALLS
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State | WI
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Zip | 54022
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Country | US
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Telephone | 715-425-3801
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Fax | 715-425-3800
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Provider Business Mailing Address
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Address Line | 410 S THIRD ST B31 WEB UW RIVER FALLS SPEECH AND HEARING CLINIC
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City | RIVER FALLS
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State | WI
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Zip | 54022
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Country | US
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Telephone | 715-425-3801
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Fax | 715-425-3800
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Authorized Official
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Title or Position | CONTROLLER
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Name | MR. JOEL HEUSCHELE
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Credential | CPA
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Telephone | 715-425-3265
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QH0700X
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Taxonomy Name | Hearing and Speech Clinic/Center
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License Number |
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License Number State |
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