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General NPI Number Information
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NPI Number | 1487549242
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Entity Type | Organization
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Legal Business Name | FEEDING AMERICA EASTERN WI
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Dates
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Enumeration Date | 06/11/2025
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Last Update Date | 06/11/2025
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Provider Practice Location Address
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Address Line | 1700 W FOND DU LAC AVE
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City | MILWAUKEE
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State | WI
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Zip | 53205-1261
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Country | US
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Telephone | 414-931-7400
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Fax |
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Provider Business Mailing Address
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Address Line | 1700 W FOND DU LAC AVE
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City | MILWAUKEE
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State | WI
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Zip | 53205-1261
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | DIRECTOR OF HEALTH SYSTEM
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Name | MICHELLE FORD
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Credential |
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Telephone | 414-831-6341
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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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 | 251B00000X
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Taxonomy Name | Case Management Agency
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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 | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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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 | 332U00000X
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Taxonomy Name | Home Delivered Meals
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 335G00000X
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Taxonomy Name | Medical Foods Supplier
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License Number |
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License Number State |
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