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General NPI Number Information
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NPI Number | 1558285957
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Entity Type | Organization
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Legal Business Name | CHILDREN'S HOSPITAL OF WISCONSIN, INC-FOX VALLEY
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Dates
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Enumeration Date | 08/07/2026
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Last Update Date | 08/07/2026
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Provider Practice Location Address
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Address Line | 130 2ND ST
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City | NEENAH
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State | WI
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Zip | 54956-2883
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Country | US
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Telephone | 920-969-7900
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Fax | 920-969-7997
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Provider Business Mailing Address
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Address Line | PO BOX 1997
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City | MILWAUKEE
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State | WI
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Zip | 53201-1997
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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 | SENIOR VICE PRESIDENT, CFO
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Name | MARC CADIEUX
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Credential |
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Telephone | 414-266-6226
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 3336I0012X
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Taxonomy Name | Institutional Pharmacy
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License Number |
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License Number State |
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