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General NPI Number Information
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NPI Number | 1598416133
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Entity Type | Organization
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Legal Business Name | HUDSON PHYSICIANS, S.C.
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Dates
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Enumeration Date | 01/14/2022
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Last Update Date | 09/07/2023
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Provider Practice Location Address
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Address Line | 8325 CITY CENTRE DR STE 140
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City | WOODBURY
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State | MN
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Zip | 55125-3323
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Country | US
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Telephone | 715-531-6800
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Fax | 715-531-6801
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Provider Business Mailing Address
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Address Line | 2651 HILLCREST DR STE 303
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City | HUDSON
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State | WI
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Zip | 54016-9919
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Country | US
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Telephone | 715-531-6800
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Fax | 715-531-6801
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Authorized Official
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Title or Position | DIRECTOR OF BUSINESS SERVICES
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Name | JULIE MICHELE HADZIMA
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Credential |
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Telephone | 715-531-6812
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208600000X
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Taxonomy Name | Surgery Physician
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License Number |
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License Number State |
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