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General NPI Number Information
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NPI Number | 1326402538
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Entity Type | Organization
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Legal Business Name | ALORIA HEALTH MILWAUKEE
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Dates
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Enumeration Date | 04/13/2016
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Last Update Date | 06/13/2016
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Provider Practice Location Address
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Address Line | 312 E WISCONSIN AVE SUITE 220
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City | MILWAUKEE
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State | WI
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Zip | 53202-4310
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Country | US
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Telephone | 414-488-3503
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Fax |
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Provider Business Mailing Address
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Address Line | 312 E WISCONSIN AVE SUITE 220
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City | MILWAUKEE
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State | WI
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Zip | 53202-4310
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Country | US
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Telephone | 414-488-3503
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Fax | 414-488-3600
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Authorized Official
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Title or Position | CHIEF NURSING OFFICER
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Name | MISS ELIZABETH ANN TOOHILL
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Credential | MSN,CCM,CRRN
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Telephone | 224-500-1931
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 320800000X
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Taxonomy Name | Mental Illness Community Based Residential Treatment Facility
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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 | 251S00000X
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Taxonomy Name | Community/Behavioral Health Agency
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License Number |
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License Number State | WI
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