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General NPI Number Information
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NPI Number | 1700223849
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Entity Type | Organization
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Legal Business Name | AURORA SINAI MEDICAL CENTER
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Dates
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Enumeration Date | 05/30/2013
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Last Update Date | 05/30/2013
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Provider Practice Location Address
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Address Line | W353N6046 BAYSHORE CIR
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City | OCONOMOWOC
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State | WI
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Zip | 53066-1820
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Country | US
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Telephone | 239-349-0621
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Fax |
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Provider Business Mailing Address
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Address Line | W353 N6046 BAYSHORE CIRCLE
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City | OCONOMOWOC
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State | WI
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Zip | 53066
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Country | US
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Telephone | 239-349-0621
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Fax |
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Authorized Official
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Title or Position | EMERGENCY MEDICINE PA RESIDENT
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Name | MS. SARAH ELIZABETH ARDELLINI
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Credential | PA-C
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Telephone | 239-349-0621
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 282N00000X
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Taxonomy Name | General Acute Care Hospital
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License Number |
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License Number State | WI
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