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General NPI Number Information
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NPI Number | 1588312482
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Entity Type | Organization
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Legal Business Name | HAND TO SHOULDER CENTER OF WISCONSIN, LTD.
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Dates
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Enumeration Date | 03/10/2022
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Last Update Date | 03/10/2022
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Provider Practice Location Address
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Address Line | 1551 PARK PL STE 100
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City | GREEN BAY
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State | WI
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Zip | 54304-1969
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Country | US
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Telephone | 920-730-8833
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Fax |
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Provider Business Mailing Address
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Address Line | 2323 N CASALOMA DR
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City | APPLETON
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State | WI
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Zip | 54913-8284
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | TINA MARIE SAUER
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Credential |
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Telephone | 920-730-8833
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 174400000X
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Taxonomy Name | Specialist
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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 | 207X00000X
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Taxonomy Name | Orthopaedic Surgery Physician
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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 | 225100000X
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Taxonomy Name | Physical Therapist
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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 | 225X00000X
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Taxonomy Name | Occupational Therapist
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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 | 363A00000X
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Taxonomy Name | Physician Assistant
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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 | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number |
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License Number State |
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