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General NPI Number Information
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NPI Number | 1821614710
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Entity Type | Organization
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Legal Business Name | BAYCARE AURORA KAUKAUNA SURGERY CENTER LLC
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Dates
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Enumeration Date | 06/17/2020
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Last Update Date | 10/03/2025
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Provider Practice Location Address
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Address Line | 1500 ARBOR WAY
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City | KAUKAUNA
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State | WI
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Zip | 54130
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Country | US
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Telephone | 920-372-7150
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Fax |
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Provider Business Mailing Address
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Address Line | 3301 W FOREST HOME AVE
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City | MILWAUKEE
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State | WI
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Zip | 53215-2843
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Country | US
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Telephone | 414-647-6326
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Fax | 414-389-1509
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Authorized Official
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Title or Position | ASSISTANT TREASURER
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Name | KARA RICHARDSON
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Credential |
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Telephone | 704-631-0450
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QA1903X
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Taxonomy Name | Ambulatory Surgical Clinic/Center
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License Number |
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License Number State |
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