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NPI 1689751711

NPI 1689751711 : AURORA MEDICAL CENTER BAY AREA, INC : MARINETTE, WI

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General NPI Number Information
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    NPI Number           |    1689751711
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    Entity Type          |    Organization 
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    Legal Business Name  |    AURORA MEDICAL CENTER BAY AREA, INC 
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Dates
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    Enumeration Date     |    11/01/2006
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    Last Update Date     |    10/16/2025
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Provider Practice Location Address
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    Address Line         |    3003 UNIVERSITY DR 
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    City                 |    MARINETTE
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    State                |    WI
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    Zip                  |    54143-4110
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    Country              |    US
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    Telephone            |    715-735-6621
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    3003 UNIVERSITY DR 
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    City                 |    MARINETTE
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    State                |    WI
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    Zip                  |    54143-4110
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    Country              |    US
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    Telephone            |    715-735-4200
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    Fax                  |    715-735-1791
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Authorized Official
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    Title or Position    |    ASSISTANT TREASURER
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    Name                 |     KARA  RICHARDSON 
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    Credential           |    
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    Telephone            |    704-631-0450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    332B00000X
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    Taxonomy Name        |    Durable Medical Equipment & Medical Supplies
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    License Number       |    
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    License Number State |    
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