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General NPI Number Information
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NPI Number | 1407853112
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Entity Type | Organization
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Legal Business Name | SEASONS HOSPICE & PALLIATIVE CARE OF WISCONSIN, LLC
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Dates
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Enumeration Date | 07/07/2005
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Last Update Date | 12/02/2025
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Provider Practice Location Address
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Address Line | 6737 W WASHINGTON ST STE 2150
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City | WEST ALLIS
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State | WI
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Zip | 53214-5649
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Country | US
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Telephone | 414-203-8310
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Fax | 414-203-8311
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Provider Business Mailing Address
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Address Line | 6400 SHAFER CT STE 300A
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City | ROSEMONT
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State | IL
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Zip | 60018-4914
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Country | US
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Telephone | 847-759-9449
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Fax | 847-375-2148
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Authorized Official
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Title or Position | VP LEGAL
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Name | HEATHER SISCEL
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Credential |
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Telephone | 414-203-8310
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251G00000X
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Taxonomy Name | Community Based Hospice Care Agency
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License Number | 2008
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License Number State | WI
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