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General NPI Number Information
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NPI Number | 1568775914
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Entity Type | Organization
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Legal Business Name | BALDWIN AREA MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 07/14/2010
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Last Update Date | 02/05/2018
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Provider Practice Location Address
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Address Line | 503 CHERRY LN
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City | ROBERTS
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State | WI
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Zip | 54023-9731
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Country | US
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Telephone | 715-684-3311
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Fax | 715-684-6764
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Provider Business Mailing Address
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Address Line | 1100 BERGSLIEN ST
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City | BALDWIN
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State | WI
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Zip | 54002-2600
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Country | US
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Telephone | 715-684-1111
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Fax | 715-684-1119
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | ALISON H PAGE
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Credential | C.E.O.
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Telephone | 715-684-8615
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261Q00000X
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Taxonomy Name | Clinic/Center
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License Number |
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License Number State |
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