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General NPI Number Information
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NPI Number | 1679572788
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Entity Type | Organization
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Legal Business Name | SOUTHWESTERN WISCONSIN COMMUNITY ACTION PROGRAM INC
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Dates
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Enumeration Date | 07/20/2005
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Last Update Date | 07/01/2025
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Provider Practice Location Address
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Address Line | 65 S ELM ST
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City | PLATTEVILLE
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State | WI
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Zip | 53818-3107
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Country | US
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Telephone | 608-348-9766
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Fax | 608-348-3915
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Provider Business Mailing Address
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Address Line | PO BOX 704
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City | PLATTEVILLE
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State | WI
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Zip | 53818-0704
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Country | US
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Telephone | 608-348-9766
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Fax | 608-348-3915
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Authorized Official
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Title or Position | PROGRAM DIRECTOR/NURSE PRACTITIONER
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Name | TIFFANY M ALLEN
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Credential | NP
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Telephone | 641-590-3677
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA0005X
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Taxonomy Name | Ambulatory Family Planning Facility
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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 | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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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 | 363LW0102X
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Taxonomy Name | Women's Health Nurse Practitioner
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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 | 261QF0050X
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Taxonomy Name | Non-Surgical Family Planning Clinic/Center
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License Number |
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License Number State |
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