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General NPI Number Information
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NPI Number | 1376438135
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Entity Type | Organization
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Legal Business Name | BAY PSYCHIATRY OF WISCONSIN LLC
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 7353 HORSESHOE BAY RD
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City | EGG HARBOR
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State | WI
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Zip | 54209-8943
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Country | US
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Telephone | 920-238-8155
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Fax |
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Provider Business Mailing Address
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Address Line | 1048 GLORY RD STE A
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City | GREEN BAY
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State | WI
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Zip | 54304-5664
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Country | US
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Telephone | 920-676-8327
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Fax |
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Authorized Official
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Title or Position | CEO/PSYCHIATRIC NURSE PRACTITIONER
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Name | KARI L MAHLIK
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Credential | APNP
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Telephone | 920-676-8327
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LP0808X
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Taxonomy Name | Psychiatric/Mental Health Nurse Practitioner
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License Number |
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License Number State |
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