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General NPI Number Information
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NPI Number | 1356516504
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Entity Type | Organization
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Legal Business Name | CITY OF WAUWATOSA HEALTH DEPARTMENT
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Dates
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Enumeration Date | 04/29/2008
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Last Update Date | 04/29/2008
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Provider Practice Location Address
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Address Line | 7725 W NORTH AVE
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City | WAUWATOSA
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State | WI
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Zip | 53213-1720
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Country | US
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Telephone | 414-479-8940
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Fax | 414-471-8483
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Provider Business Mailing Address
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Address Line | 7725 W NORTH AVE
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City | WAUWATOSA
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State | WI
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Zip | 53213-1720
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Country | US
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Telephone | 414-479-8940
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Fax | 414-471-8483
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Authorized Official
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Title or Position | CITY OF WAUWATOSA HEALTH OFFICER
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Name | DR. NANCY JEAN KREUSER
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Credential | RN, PHD
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Telephone | 414-479-8940
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number | 9666530
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License Number State | WI
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