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General NPI Number Information
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NPI Number | 1487472056
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Entity Type | Organization
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Legal Business Name | WHC MKE, LLC
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Dates
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Enumeration Date | 10/01/2024
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Last Update Date | 10/02/2024
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Provider Practice Location Address
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Address Line | 646 S 2ND ST STE 300
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City | MILWAUKEE
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State | WI
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Zip | 53204-1637
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Country | US
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Telephone | 414-223-4030
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Fax |
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Provider Business Mailing Address
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Address Line | 646 S 2ND ST STE 300
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City | MILWAUKEE
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State | WI
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Zip | 53204-1637
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Country | US
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Telephone | 414-223-4030
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Fax |
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Authorized Official
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Title or Position | VICE PRESIDENT OF OPERATIONS
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Name | MR. JACOB D. MARSH
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Credential |
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Telephone | 414-260-2118
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 343800000X
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Taxonomy Name | Secured Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 343900000X
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Taxonomy Name | Non-emergency Medical Transport (VAN)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 344600000X
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Taxonomy Name | Taxi
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 347E00000X
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Taxonomy Name | Transportation Broker
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License Number |
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License Number State |
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