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General NPI Number Information
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NPI Number | 1417147125
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Entity Type | Organization
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Legal Business Name | MICHELLE M. ORGAN
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Dates
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Enumeration Date | 07/29/2007
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Last Update Date | 07/29/2007
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Provider Practice Location Address
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Address Line | 22330 BLUEBIRD AVE
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City | WARRENS
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State | WI
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Zip | 54666-7583
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Country | US
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Telephone | 608-387-9980
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Fax |
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Provider Business Mailing Address
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Address Line | 22330 BLUEBIRD AVE
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City | WARRENS
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State | WI
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Zip | 54666-7583
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Country | US
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Telephone | 608-387-9980
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Fax |
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Authorized Official
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Title or Position | RN
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Name | MISS MICHELLE M ORGAN
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Credential |
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Telephone | 608-387-9980
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 163WH0200X
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Taxonomy Name | Home Health Registered Nurse
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License Number |
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License Number State | WI
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