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General NPI Number Information
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NPI Number | 1841099512
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Entity Type | Organization
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Legal Business Name | CIRCLE HEALTH SC
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Dates
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Enumeration Date | 03/13/2025
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Last Update Date | 03/13/2025
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Provider Practice Location Address
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Address Line | N20W22961 WATERTOWN RD
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City | WAUKESHA
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State | WI
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Zip | 53186-1306
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Country | US
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Telephone | 262-875-5070
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 474
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City | HARTLAND
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State | WI
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Zip | 53029-0474
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | CFO
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Name | BRADLEY ANDERSON
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Credential |
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Telephone | 262-875-5070
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 207R00000X
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Taxonomy Name | Internal Medicine Physician
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License Number |
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License Number State |
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