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General NPI Number Information
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NPI Number | 1750482022
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Entity Type | Organization
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Legal Business Name | CHILDREN'S HOSPITAL OF WISCONSIN, INC.
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Dates
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Enumeration Date | 09/26/2006
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Last Update Date | 07/29/2025
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Provider Practice Location Address
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Address Line | 9000 W WISCONSIN AVE
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City | MILWAUKEE
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State | WI
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Zip | 53226-3518
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Country | US
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Telephone | 414-266-2000
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Fax | 414-266-6409
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Provider Business Mailing Address
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Address Line | PO BOX 1997
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City | MILWAUKEE
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State | WI
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Zip | 53201-1997
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Country | US
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Telephone | 414-266-2000
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Fax | 414-266-6409
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Authorized Official
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Title or Position | VP REVENUE CYCLE
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Name | MONICA RICCA
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Credential |
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Telephone | 414-266-2511
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number | 135
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 231H00000X
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Taxonomy Name | Audiologist
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 291U00000X
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Taxonomy Name | Clinical Medical Laboratory
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License Number | 135
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License Number State | WI
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Taxonomy #4
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Taxonomy Code | 332B00000X
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Taxonomy Name | Durable Medical Equipment & Medical Supplies
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License Number | 135
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License Number State | WI
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Taxonomy #5
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Taxonomy Code | 3336C0003X
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Taxonomy Name | Community/Retail Pharmacy
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License Number |
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License Number State |
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Taxonomy #6
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Taxonomy Code | 282NC2000X
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Taxonomy Name | Children's Hospital
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License Number | 135
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License Number State | WI
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