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General NPI Number Information
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NPI Number | 1568272763
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Entity Type | Organization
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Legal Business Name | NSH COLBY LLC
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Dates
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Enumeration Date | 01/09/2025
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Last Update Date | 01/09/2025
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Provider Practice Location Address
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Address Line | 702 W DOLF ST
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City | COLBY
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State | WI
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Zip | 54421-9604
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Country | US
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Telephone | 715-223-2352
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Fax |
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Provider Business Mailing Address
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Address Line | 640 N VEL R PHILLIPS AVE STE 200
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City | MILWAUKEE
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State | WI
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Zip | 53203-2801
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Country | US
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Telephone | 414-977-8660
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Fax |
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Authorized Official
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Title or Position | GENERAL COUNSEL
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Name | BRIAN PURTELL
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Credential | JD
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Telephone | 414-977-8660
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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