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General NPI Number Information
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NPI Number | 1386748002
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Entity Type | Organization
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Legal Business Name | WAUKESHA HEALTH SYSTEM, INC
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Dates
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Enumeration Date | 09/12/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 725 AMERICAN AVE
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City | WAUKESHA
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State | WI
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Zip | 53188-5031
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Country | US
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Telephone | 262-928-2279
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Fax | 262-544-0928
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Provider Business Mailing Address
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Address Line | 725 AMERICAN AVE
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City | WAUKESHA
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State | WI
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Zip | 53188-5031
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Country | US
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Telephone | 262-928-2279
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Fax | 262-544-0928
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Authorized Official
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Title or Position | VICE PRESIDENT FINACE, PHCI
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Name | NAN NELSON
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Credential |
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Telephone | 262-928-4740
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336C0002X
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Taxonomy Name | Clinic Pharmacy
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License Number | 6694042
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License Number State | WI
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