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General NPI Number Information
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NPI Number | 1811879851
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Entity Type | Organization
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Legal Business Name | COMPLETE MOBILE HEALTH, LLC
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Dates
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Enumeration Date | 07/22/2025
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Last Update Date | 07/22/2025
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Provider Practice Location Address
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Address Line | 4805 S 74TH ST
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City | GREENFIELD
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State | WI
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Zip | 53220-4358
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Country | US
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Telephone | 414-213-6543
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Fax | 888-557-0031
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Provider Business Mailing Address
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Address Line | 4805 S 74TH ST
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City | GREENFIELD
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State | WI
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Zip | 53220-4358
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Country | US
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Telephone | 414-213-6543
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Fax | 888-557-0031
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Authorized Official
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Title or Position | DIRECTOR OF OPERATIONS
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Name | MS. NICKI LYN BENSON
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Credential |
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Telephone | 414-213-6543
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QC1800X
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Taxonomy Name | Corporate Health Clinic/Center
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License Number |
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License Number State |
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