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General NPI Number Information
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NPI Number | 1780663989
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Entity Type | Organization
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Legal Business Name | ASPIRUS STANLEY HOSPITAL & CLINICS, INC
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Dates
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Enumeration Date | 01/16/2006
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Last Update Date | 06/11/2024
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Provider Practice Location Address
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Address Line | 704 S CLARK ST
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City | THORP
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State | WI
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Zip | 54771-7624
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Country | US
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Telephone | 715-669-7279
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Fax | 715-669-5674
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Provider Business Mailing Address
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Address Line | 1120 PINE ST
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City | STANLEY
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State | WI
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Zip | 54768-1297
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Country | US
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Telephone | 715-644-5530
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Fax | 715-644-6223
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Authorized Official
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Title or Position | SVP & CHIEF FINANCIAL OFFICER
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Name | JERRY M YANG
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Credential |
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Telephone | 715-847-2526
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207Q00000X
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Taxonomy Name | Family Medicine Physician
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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