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General NPI Number Information
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NPI Number | 1316601487
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Entity Type | Organization
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Legal Business Name | ASCENSION SACRED HEART-ST. MARY'S HOSPITALS, INC.
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Dates
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Enumeration Date | 10/26/2021
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Last Update Date | 10/26/2021
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Provider Practice Location Address
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Address Line | 1120 PINE ST
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City | STANLEY
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State | WI
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Zip | 54768-1297
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Country | US
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Telephone | 715-355-9573
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Fax |
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Provider Business Mailing Address
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Address Line | 29980 NETWORK PL
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City | CHICAGO
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State | IL
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Zip | 60673-1299
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Country | US
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Telephone | 715-847-2304
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Fax |
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Authorized Official
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Title or Position | VPF
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Name | SIDNEY CHARLES SCZYGELSKI
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Credential |
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Telephone | 715-847-2250
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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