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General NPI Number Information
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NPI Number | 1740342187
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Entity Type | Organization
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Legal Business Name | AURORA COMMUNITY HEALTH INC
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Dates
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Enumeration Date | 12/14/2006
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Last Update Date | 09/08/2009
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Provider Practice Location Address
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Address Line | 406 TECHNOLOGY DR E STE B
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City | MENOMONIE
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State | WI
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Zip | 54751-2768
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Country | US
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Telephone | 715-235-4667
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Fax |
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Provider Business Mailing Address
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Address Line | 406 TECHNOLOGY DR E STE B
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City | MENOMONIE
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State | WI
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Zip | 54751-2768
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Country | US
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Telephone | 715-235-4667
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Fax |
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Authorized Official
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Title or Position | CAO
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Name | AVIS WOLSKE-BAKER
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Credential |
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Telephone | 715-235-1839
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 374U00000X
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Taxonomy Name | Home Health Aide
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License Number | 310
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License Number State | WI
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