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General NPI Number Information
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NPI Number | 1871795690
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Entity Type | Organization
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Legal Business Name | CITY OF SOUTH MILWAUKEE
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Dates
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Enumeration Date | 06/04/2007
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Last Update Date | 01/29/2025
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Provider Practice Location Address
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Address Line | 2424 15TH AVE
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City | SOUTH MILWAUKEE
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State | WI
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Zip | 53172-2410
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Country | US
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Telephone | 414-768-8055
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Fax | 414-768-5720
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Provider Business Mailing Address
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Address Line | 2424 15TH AVE
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City | SOUTH MILWAUKEE
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State | WI
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Zip | 53172-2410
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Country | US
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Telephone | 414-768-8055
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Fax | 414-768-5720
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Authorized Official
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Title or Position | PUBLIC HEALTH ADMINISTRATOR
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Name | JACQUELINE MARIE OVE
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Credential | R.N.
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Telephone | 414-768-8055
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251K00000X
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Taxonomy Name | Public Health or Welfare Agency
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License Number |
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License Number State | WI
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Taxonomy #2
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Taxonomy Code | 261QP0905X
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Taxonomy Name | State or Local Public Health Clinic/Center
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License Number |
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License Number State |
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