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General NPI Number Information
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NPI Number | 1639235443
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Entity Type | Organization
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Legal Business Name | WEB CAST INDUSTRIES INC.
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Dates
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Enumeration Date | 12/28/2006
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Last Update Date | 06/26/2008
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Provider Practice Location Address
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Address Line | 3008 W CAPITOL DR
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City | MILWAUKEE
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State | WI
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Zip | 53216-2618
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Country | US
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Telephone | 414-447-6062
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Fax | 414-873-9583
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Provider Business Mailing Address
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Address Line | 3008 W CAPITOL DR
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City | MILWAUKEE
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State | WI
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Zip | 53216-2618
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Country | US
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Telephone | 414-447-6062
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Fax | 414-873-9583
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Authorized Official
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Title or Position | PRESIDENT
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Name | MR. WAYNE DALE HAMPTON
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Credential |
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Telephone | 414-447-6062
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 332BX2000X
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Taxonomy Name | Oxygen Equipment & Supplies (DME)
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License Number | 41757300
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License Number State | WI
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