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General NPI Number Information
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NPI Number | 1467982751
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Entity Type | Organization
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Legal Business Name | HEALTHSTAT INC
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Dates
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Enumeration Date | 06/19/2017
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Last Update Date | 06/30/2025
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Provider Practice Location Address
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Address Line | 17280 W NORTH AVE STE G100
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City | BROOKFIELD
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State | WI
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Zip | 53045-4366
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Country | US
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Telephone | 262-214-1101
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 1433
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City | PORTSMOUTH
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State | NH
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Zip | 03802-1433
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Country | US
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Telephone | 866-434-3255
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | JEFF WELLS
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Credential | MD
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Telephone | 866-434-3255
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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