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General NPI Number Information
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NPI Number | 1649409897
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Entity Type | Individual
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Provider Name | JESSICA NELLIE BATTAGLIA PHARMD, BCACP
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Gender | Female
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Dates
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Enumeration Date | 07/09/2009
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Last Update Date | 06/28/2024
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Provider Practice Location Address
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Address Line | 945 N 12TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53233-1305
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Country | US
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Telephone | 414-219-3056
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Fax | 414-219-6188
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Provider Business Mailing Address
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Address Line | 945 N 12TH ST
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City | MILWAUKEE
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State | WI
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Zip | 53233-1305
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Country | US
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Telephone | 414-219-3056
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Fax | 414-219-6188
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1835P2201X
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Taxonomy Name | Ambulatory Care Pharmacist
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License Number | 15604-40
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 183500000X
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Taxonomy Name | Pharmacist
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License Number | 15604-40
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License Number State | WI
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