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General NPI Number Information
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NPI Number | 1386105989
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Entity Type | Individual
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Provider Name | NICHOLAS JAMES ORGAN MD
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Gender | Male
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Dates
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Enumeration Date | 03/26/2019
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Last Update Date | 05/15/2024
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Provider Practice Location Address
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Address Line | W180N8085 TOWN HALL RD
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City | MENOMONEE FALLS
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State | WI
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Zip | 53051-3518
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Country | US
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Telephone | 262-257-3060
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Fax | 262-518-5052
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Provider Business Mailing Address
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Address Line | W180N8085 TOWN HALL RD
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City | MENOMONEE FALLS
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State | WI
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Zip | 53051-3518
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Country | US
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Telephone | 262-257-3060
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Fax | 262-518-5052
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 2085N0904X
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Taxonomy Name | Nuclear Radiology Physician
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License Number | 75736
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 2085R0202X
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Taxonomy Name | Diagnostic Radiology Physician
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License Number | 75736
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License Number State | WI
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