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General NPI Number Information
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NPI Number | 1578009692
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Entity Type | Organization
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Legal Business Name | SACRED HEART HOSPITAL OF THE HOSPITAL SISTERS OF THE 3RD ORDER OF ST F
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Dates
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Enumeration Date | 01/12/2017
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Last Update Date | 12/22/2021
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Provider Practice Location Address
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Address Line | 3802 OAKWOOD MALL DR
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City | EAU CLAIRE
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State | WI
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Zip | 54701-3016
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Country | US
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Telephone | 715-839-9833
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Fax |
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Provider Business Mailing Address
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Address Line | 900 W CLAIREMONT AVE
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City | EAU CLAIRE
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State | WI
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Zip | 54701-6122
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Country | US
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Telephone | 715-717-6122
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | MS. JULIE MANAS
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Credential |
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Telephone | 715-717-2122
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QS1200X
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Taxonomy Name | Sleep Disorder Diagnostic Clinic/Center
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License Number | 17
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License Number State | WI
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