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General NPI Number Information
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NPI Number | 1346139029
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Entity Type | Organization
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Legal Business Name | SOUTHWEST SUBURBAN HEALTH DEPARTMENT
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Dates
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Enumeration Date | 06/30/2025
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 7120 W NATIONAL AVE
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City | WEST ALLIS
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State | WI
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Zip | 53214-4732
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Country | US
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Telephone | 414-302-8600
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Fax |
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Provider Business Mailing Address
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Address Line | 7120 W NATIONAL AVE
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City | WEST ALLIS
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State | WI
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Zip | 53214-4732
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Country | US
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Telephone | 414-302-8600
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Fax |
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Authorized Official
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Title or Position | PRIMARY CARE PEDIATRICIAN
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Name | DR. HEALTHER PARADIS
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Credential | MD
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Telephone | 414-277-8900
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 251B00000X
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Taxonomy Name | Case Management Agency
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License Number |
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License Number State |
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