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General NPI Number Information
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NPI Number | 1336381839
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Entity Type | Organization
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Legal Business Name | SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS-3RD ORDER OF ST FRANCIS
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Dates
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Enumeration Date | 03/30/2009
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Last Update Date | 01/07/2022
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Provider Practice Location Address
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Address Line | 900 W CLAIREMONT AVE
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City | EAU CLAIRE
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State | WI
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Zip | 54701-6122
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Country | US
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Telephone | 715-717-4131
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Fax | 715-717-6076
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Provider Business Mailing Address
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Address Line | 900 W CLAIREMONT AVE
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City | EAU CLAIRE
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State | WI
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Zip | 54701-6122
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Country | US
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Telephone | 715-717-4131
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Fax | 715-717-6076
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Authorized Official
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Title or Position | CFO
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Name | MR. ANDRES BARTH
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Credential |
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Telephone | 715-717-4220
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101Y00000X
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Taxonomy Name | Counselor
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License Number | 17
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 103T00000X
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Taxonomy Name | Psychologist
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License Number | 17
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License Number State | WI
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Taxonomy #3
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Taxonomy Code | 207V00000X
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Taxonomy Name | Obstetrics & Gynecology Physician
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License Number | 17
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 207Y00000X
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Taxonomy Name | Otolaryngology Physician
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License Number | 17
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 208000000X
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Taxonomy Name | Pediatrics Physician
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License Number | 17
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License Number State | WI
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Taxonomy #6
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Taxonomy Code | 208G00000X
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Taxonomy Name | Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
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License Number | 17
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License Number State | WI
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Taxonomy #7
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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License Number |
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License Number State |
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