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General NPI Number Information
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NPI Number | 1730383811
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Entity Type | Organization
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Legal Business Name | AURORA MEDICAL GROUP, INC.
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Dates
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Enumeration Date | 06/13/2007
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Last Update Date | 02/19/2008
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Provider Practice Location Address
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Address Line | 106 MILL ST
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City | REEDSVILLE
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State | WI
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Zip | 54230-1700
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Country | US
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Telephone | 920-754-4337
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Fax |
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Provider Business Mailing Address
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Address Line | 106 MILL ST
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City | REEDSVILLE
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State | WI
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Zip | 54230-1700
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Country | US
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Telephone | 920-754-4337
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Fax |
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Authorized Official
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Title or Position | PRESIDENT
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Name | JEFFREY BALIET
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Credential |
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Telephone | 414-647-6322
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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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