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General NPI Number Information
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NPI Number | 1699692533
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Entity Type | Organization
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Legal Business Name | OCONTO HOSPITAL & MEDICAL CENTER, INC.
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Dates
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Enumeration Date | 07/01/2026
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Last Update Date | 07/01/2026
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Provider Practice Location Address
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Address Line | 2820 ROOSEVELT RD
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City | MARINETTE
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State | WI
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Zip | 54143-3834
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Country | US
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Telephone | 715-735-5225
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Fax | 715-735-5388
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Provider Business Mailing Address
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Address Line | PO BOX 1866
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City | GREEN BAY
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State | WI
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Zip | 54305-1866
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Country | US
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Telephone | 715-735-5225
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Fax |
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Authorized Official
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Title or Position | CREDENTIALING SPECIALIST
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Name | ABBY JULIA ENGEBOSE
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Credential |
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Telephone | 920-433-7860
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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