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NPI 1760565253

NPI 1760565253 : THE MONROE CLINIC, INC. : MONROE, WI

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General NPI Number Information
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    NPI Number           |    1760565253
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    Entity Type          |    Organization 
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    Legal Business Name  |    THE MONROE CLINIC, INC. 
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Dates
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    Enumeration Date     |    10/20/2006
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    Last Update Date     |    06/05/2024
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Provider Practice Location Address
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    Address Line         |    515 22ND AVE 
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    City                 |    MONROE
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    State                |    WI
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    Zip                  |    53566-1569
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    Country              |    US
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    Telephone            |    608-324-2770
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    Fax                  |    608-324-2469
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Provider Business Mailing Address
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    Address Line         |    515 22ND AVE 
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    City                 |    MONROE
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    State                |    WI
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    Zip                  |    53566-1569
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    Country              |    US
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    Telephone            |    608-324-2000
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    Fax                  |    608-324-2469
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Authorized Official
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    Title or Position    |    PRESIDENT
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    Name                 |    MS. JANE W CURRAN-MUELI 
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    Credential           |    
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    Telephone            |    608-324-2625
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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       |    3771-042
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    License Number State |    WI
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