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General NPI Number Information
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NPI Number | 1558386284
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Entity Type | Organization
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Legal Business Name | AURORA HEALTH CARE METRO INC
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 02/09/2025
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Provider Practice Location Address
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Address Line | 945 N 12TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53233-1305
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Country | US
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Telephone | 414-219-3100
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Fax | 414-219-3708
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Provider Business Mailing Address
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Address Line | 945 N 12TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53233-1305
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Country | US
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Telephone | 414-219-3100
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Fax | 414-219-3708
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Authorized Official
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Title or Position | VP MANAGED HEEALTH
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Name | KARA RICHARDSON
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Credential |
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Telephone | 704-631-0450
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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 | 8901
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License Number State | WI
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