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General NPI Number Information
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NPI Number | 1568487171
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Entity Type | Organization
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Legal Business Name | EAU CLAIRE MEDICAL CLINIC, S.C.
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 07/25/2012
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Provider Practice Location Address
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Address Line | 703 W HAMILTON AVE
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City | EAU CLAIRE
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State | WI
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Zip | 54701
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Country | US
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Telephone | 715-839-9280
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Fax |
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Provider Business Mailing Address
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Address Line | 2715 WEST FRANK STREET
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City | EAU CLAIRE
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State | WI
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Zip | 54703-2593
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Country | US
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Telephone | 715-832-2996
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Fax | 715-834-5870
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Authorized Official
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Title or Position | CO-OWNER
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Name | DR. SALEH A OBAID
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Credential | MD
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Telephone | 715-839-9280
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 133NN1002X
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Taxonomy Name | Nutrition Education Nutritionist
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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 | 133V00000X
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Taxonomy Name | Registered Dietitian
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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 | 207RC0200X
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Taxonomy Name | Critical Care Medicine (Internal Medicine) Physician
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 207RP1001X
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Taxonomy Name | Pulmonary Disease Physician
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number |
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License Number State | WI
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Taxonomy #7
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Taxonomy Code | 363LG0600X
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Taxonomy Name | Gerontology Nurse Practitioner
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License Number |
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License Number State |
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Taxonomy #8
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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