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General NPI Number Information
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NPI Number | 1720595366
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Entity Type | Organization
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Legal Business Name | 3D HEALTHCARE CONSULTING LLC
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Dates
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Enumeration Date | 01/04/2018
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Last Update Date | 09/28/2025
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Provider Practice Location Address
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Address Line | 200880 CANOPY LN
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City | ROSHOLT
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State | WI
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Zip | 54473-6705
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Country | US
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Telephone | 715-439-3084
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Fax |
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Provider Business Mailing Address
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Address Line | 200880 CANOPY LN
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City | ROSHOLT
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State | WI
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Zip | 54473-6705
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Country | US
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Telephone | 715-439-3084
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Fax |
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Authorized Official
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Title or Position | BILLING MANAGER
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Name | SALLY A CONWAY
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Credential |
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Telephone | 715-439-3084
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 363LF0000X
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Taxonomy Name | Family Nurse Practitioner
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License Number |
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License Number State |
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