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General NPI Number Information
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NPI Number | 1689559296
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Entity Type | Organization
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Legal Business Name | SABUCHE HEALTH
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Dates
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Enumeration Date | 08/11/2025
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Last Update Date | 09/22/2025
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Provider Practice Location Address
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Address Line | 301 W COVENTRY CT SUITE 306
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City | GLENDALE
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State | WI
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Zip | 53217-3959
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Country | US
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Telephone | 970-722-8243
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Fax | 414-307-7778
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Provider Business Mailing Address
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Address Line | 301 W COVENTRY CT SUITE 306
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City | GLENDALE
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State | WI
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Zip | 53217-3959
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Country | US
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Telephone | 970-722-8243
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Fax | 414-307-7778
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Authorized Official
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Title or Position | OWNER
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Name | STEPHEN DAVID MOERSCHEL
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Credential | APNP
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Telephone | 970-722-8243
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QP2300X
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Taxonomy Name | Primary Care Clinic/Center
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License Number |
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License Number State |
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