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General NPI Number Information
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NPI Number | 1750979688
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Entity Type | Organization
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Legal Business Name | VILLAGE PRIMARY COVID CARE PROVIDERS
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Dates
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Enumeration Date | 01/06/2021
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Last Update Date | 03/05/2026
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Provider Practice Location Address
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Address Line | 1111 DELAFIELD ST STE 327
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City | WAUKESHA
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State | WI
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Zip | 53188-3407
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Country | US
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Telephone | 262-239-7070
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Fax | 866-817-3838
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Provider Business Mailing Address
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Address Line | 1111 DELAFIELD ST STE 327
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City | WAUKESHA
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State | WI
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Zip | 53188-3407
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Country | US
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Telephone | 262-239-7070
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Fax | 866-817-3838
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Authorized Official
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Title or Position | OWNER
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Name | JOANN L BROWNE
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Credential | APNP
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Telephone | 262-352-5604
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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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