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General NPI Number Information
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NPI Number | 1548164932
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Entity Type | Organization
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Legal Business Name | ST VINCENT HOSPITAL-HOSPITAL SISTERS-THIRD ORDER OF ST FRANCIS
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Dates
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Enumeration Date | 10/07/2026
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Last Update Date | 10/07/2026
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Provider Practice Location Address
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Address Line | 1409 CLEVELAND AVE
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City | MARINETTE
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State | WI
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Zip | 54143-3918
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Country | US
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Telephone | 715-735-0095
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Fax |
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Provider Business Mailing Address
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Address Line | 1409 CLEVELAND AVE
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City | MARINETTE
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State | WI
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Zip | 54143-3918
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Country | US
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Telephone | 715-735-0095
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Fax |
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Authorized Official
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Title or Position | SYSTEM DIRECTOR-FINANCIAL OPERATION
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Name | TRAVIS PITZEN
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Credential |
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Telephone | 920-431-3047
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QM0801X
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Taxonomy Name | Mental Health Clinic/Center (Including Community Mental Health Center)
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License Number |
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License Number State | NULL
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