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General NPI Number Information
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NPI Number | 1700936325
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Entity Type | Organization
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Legal Business Name | UNIVERSITY OF WISCONSIN HOSPITALS & CLINICS AUTHORITY
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Dates
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Enumeration Date | 01/12/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 5618 ODANA RD
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City | MADISON
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State | WI
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Zip | 53719-1208
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Country | US
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Telephone | 608-278-4730
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Fax |
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Provider Business Mailing Address
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Address Line | 7974 UW HEALTH CT PROVIDER ENROLLMENT MC 1010
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City | MIDDLETON
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State | WI
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Zip | 53562-5531
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Country | US
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Telephone | 608-829-5675
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | ALAN KAPLAN
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Credential | MD
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Telephone | 608-828-1811
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 333600000X
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Taxonomy Name | Pharmacy
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License Number | 8706
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License Number State | WI
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