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General NPI Number Information
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NPI Number | 1518423995
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Entity Type | Organization
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Legal Business Name | ASCENSION SE WISCONSIN HOSPITAL, INC
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Dates
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Enumeration Date | 02/11/2019
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Last Update Date | 07/20/2026
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Provider Practice Location Address
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Address Line | 201 N MAYFAIR RD
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City | WAUWATOSA
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State | WI
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Zip | 53226-4216
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Country | US
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Telephone | 414-256-1940
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Fax |
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Provider Business Mailing Address
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Address Line | 201 N MAYFAIR RD
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City | WAUWATOSA
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State | WI
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Zip | 53226-4216
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Country | US
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Telephone | 414-256-1940
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | SUSAN DWYER
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Credential |
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Telephone | 414-465-3093
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208D00000X
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Taxonomy Name | General Practice Physician
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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 | 261QR0400X
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Taxonomy Name | Rehabilitation Clinic/Center
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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 | 261QX0200X
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Taxonomy Name | Oncology Clinic/Center
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License Number |
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License Number State |
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